ROLE OF BARIUM MEAL EXAMINATION IN DIAGNOSIS OF PEPTIC ULCER
Abstract
Background: Peptic ulcer is a sore in the protective lining (mucosal lining) of the gastrointestinaltract and develops when the lining is damaged. The objectives of this Descriptive Validational studywere to determine the validity of Barium Meal examination in the diagnosis of peptic ulcer disease incomparison to the gold standard, i.e., endoscopic evaluation in peptic ulcer disease. The study wasconducted at Radiology Department Khyber Teaching Hospital Peshawar from November 2000 toMarch 2004. Methods: A total of 115 patients with signs and symptoms of peptic ulcer disease wereselected for this study and were subjected for this diagnostic modality. The diagnosis ofbenign/malignant peptic ulcer was made by barium meal examinations. In all these patients thediagnosis was later on confirmed by endoscopy and or surgery. Results: Of the 115 patients, 80were male and 35 were female patients. Their ages ranged from 27–75 years with mean age of 49years. Fifty two patients had duodenal ulcer, 30 patients gastric ulcer, and 33 patients had normalradiological findings. In 6 out of 30 patients with gastric ulcer had radiological evidence ofmalignant gastric ulcer. Conclusion: Efficiency of Barium meal examination in diagnosis of pepticulcer is good and most of peptic ulcers can be diagnosed by this method.Keyword: Barium meal, Peptic ulcer, Endoscopy.References
Steer HW. Surface morphology of gastro duodenal mucosa in
duodenal ulceration. Gut 1984;25:1203–10.
Stemmermann GN, Marcus EB, Bui st AS, Maclean CJ.
Relative impact of smoking and reduced pulmonary function
on peptic ulcer risks; a prospective study of Japanese men in
Hawai. Gastroentology 1989;96:1419–24.
Mooney C, Keenan J, Munster D , Wilson I, Allardyce R,
Bagshaw P,. Neutrophil activation by Hel icobacter Pylori.
Gut 1991;32:853–7.
Moghal N, Jafarey NA. A histological study of the effects of
non steroidal anti -inflammatory drugs (NSAIDS) on the
gastric and duodenal mucosa .J Pak Med Assoc
;39:287–90.
Hirschowitz BI. Endoscopic examination of the stomach and
duodenal cap with a fiberscope. Lancet 1961;1(7186):1074-8.
Hirschowitz BI. Development and application of Endoscopy
Gastroentology1993;104:337–42.
Heatly RV, open access upper gastrointestinal endoscopy
popular but is it right? BMJ 1993;306:1224.
Makris N, Barkun A, Crott R, Fallone CA. Cost effectiveness
of alternative approaches in t he management of dyspepsia.
Int J Technol Assess Health Care 2003;19:446–64.
Westbrook JI; Talley NJ. Diagnostic investigation rates and
use prescription and non presc ription medication amongst
dyspeptics: a population based study of 2300 Australians.
Ailment Pharmacol Ther. 2003;17:1171–8.
Fraser GM, Earnshaw PM. The double contrast barium meal:
a correlation with endoscopy. Clin Radiol 1983;34:121–31.
Cumberland DC . Fibreoptic endoscopy and radiology in the
investigation of the upper gastrointestinal tract. Clin Radiol
;26:223–36.
Ameh EA. Pep tic ulcer disease in childhood in Zaria,
Nigeria. Ann Trop Paediatr 1999;19:65–8.
Thompson G, Somers S, Stevenso n GW. Benign gastric
ulcer: a reliable radiological diagnosis. AJR 1983;141:331–3.
Levine MS. Role of the double contrast upper gastrointestinal
series in the 1990s.Gastroente rol Clin North Am
;24:289–308.
Bernersen B, Johnsen R, Straume B, Burhol PG, Jenssen TG,
Stakkevold PA. Towards a true prevalence of peptic ulcer: the
Sorresi gastrointestinal disorder study. Gut 1990;31:989–92.
Creibe J, Bugge P, Gjorup T, Lauritzen T, Bonnevie O,
Wulff HR.. Long-term prognosis of duodenal ulc er: follow
up study and survey of doctor s estimates. B r Med J
;2:1572–4.
Desforges JF. Helicobacter pylori and peptic ulcer disease. N
Engl J Med 1991;324:1043–8.
Feldman M, Walker P, Green JL, Weingarden K. Life events
stress and psychosocial factor s in men with peptic ulcer
disease. A multidimensional case control stu dy.
Gastroenterology 1986;91:1370–9.
Cumberland DC. Fibreoptic endo scopy and radiology in the
investigation of the upper gas trointestinaltract. Clin Radiol
;26:223–36.
Brezina K, Kern H, Proszowski P. Result of combined
radiological and endoscopy inv estigation of the stomach.
Wien Klin Wochenschr. 1979;91:654–8.
Laufer I, The diagnostic accur acy of barium studies of the
studies of the stomach and duodenum correlatio n with the
endoscopy. Radiology 1975;115:563–73.
Cotton PB, Shorvon PJ. Analysi s of endoscopy and
radiography in the diagnosis, follow up an d treatment of
peptic ulcer disease. Clin Gastroenterol 1984;13:383–403.
Stevenson G. The distribution of gastric ulcer: double
contrast barium meal and endos copy findings. Clin Radiol.
;28: 617–24.
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
