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© 1987 Oxford University Press

research-article

THE EFFICACY OF BARIUM ENEMA IN THE ELDERLY

J. B. MACDONALD, Consultant Geristrician1, WILLIAM J. GILCHRIST, Senior Registrar1, Y. C. LEE, Senior Medical Officer1,* and RAMSAY VALLANCE, Consuitant Rediologist2

1Department of Geriatric Medicine, Gartnevel General Hospital, 1053 Great Western Road, Glesgow G12 0YN
2 Gartnevel General Hospital, 1053 Great Western Road, Glesgow G12 0YN

Ninety-seven consecutive patients more than 70 years old (Group O) undergoing barium enema were studied to assess the usefulness of this investigation in their management. The patient's ability to co-operate was studied. Diagnostic yield was noted and compared to 70 consecutive patients less than 60 years old (Group Y). There was no correlation between mental test score, hearing or visual impairment and the patient’s ability to co-operate. A significantly greater number of positive examinations was found in Group O (P<0.05). Following a positive examination, 55% of patients in Group O had a change in management. Surgical management was pursued in 14 patients, 11 of whom had a tumour.


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