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Barium studies

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Barium enema in ulcerative colitis confirms the diagnosis, the extent and severity of the disease; the procedure is contraindicated in those patients at risk of a toxic dilatation. Features of a barium study include:

  • loss of haustration
  • narrow, straight, inelastic colon
  • may be 'spicules' due to tiny ulcer craters
  • 'pseudopolyps' may be shown as filling defects

Note that abnormalities are generally continuous, i.e. there are no 'skip' lesions that are characteristic of Crohn's disease, and confined to the large bowel.


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