Complications of radiographer performed double contrast barium enema examinations |
| |
| Institution: | 1. Division of Radiography, School of Health Studies, University of Bradford, Bradford, U.K.;2. Department of Radiology, James''s University Hospital, Leeds, U.K.;1. College of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, PR China;2. Engineering Research Center of Modern Preparation Technology of TCM of Ministry of Education, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, PR China;3. Novartis Pharmaceuticals (China), Building 8, Halei Road 898, Shanghai 201203, PR China;4. Novartis institutes for biomedical research, Inc. 500 technology square, Cambridge, MA 02139, USA;1. Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, UK;2. Bodleian Health Care Libraries, University of Oxford, Oxford, UK;3. Clinical Trial Service Unit & Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, University of Oxford, Oxford, UK;4. Medical Research Council Population Health Research Unit (MRC PHRU) at the University of Oxford, Nuffield Department of Population Health, University of Oxford, Oxford, UK;1. Oral and Maxillofacial Surgery, The Brooklyn Hospital Center, 121 Dekalb Avenue, Brooklyn, NY 11201, USA;2. Oral & Maxillofacial Surgery, Department of Veterans Affairs, New York Harbor Healthcare System (Brooklyn Campus), 800 Poly Place (Bk-160), Brooklyn, NY 11209, USA;3. Oral & Maxillofacial Surgery, Department of Oral & Maxillofacial Surgery, The Brooklyn Hospital Center, 121 DeKalb Avenue (Box-187), Brooklyn, NY 11201, USA |
| |
| Abstract: | Aim: To determine the complication rate from radiographer performed double contrast barium enema examinations.Method: Questionnaires were sent to radiographers who had attended a barium enema training course to determine the complications encountered during a 3-year period.Results: A total of 444 questionnaires were posted and 250 (56.3%) were returned completed. These radiographers had performed approximately 134 700 examinations. Fifty-four complications were reported including 20 cardiac events, 10 intraperitoneal and six extraperitoneal perforations. There were three deaths resulting in an overall mortality rate of one in 44 900; two deaths were from cardiac complications and one was from bowel perforation.Conclusions: The mortality rate for radiographer performed examinations is similar to that previously reported for examinations performed by radiologists. The rate of cardiac deaths is similar but the bowel perforation rate may be higher. Training should concentrate on minimizing the risk of perforation, which can result from the generation of excessive intracolonic pressures, excessive colonic distension and the use of rectal balloon catheters. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
