Effectiveness of therapeutic barium enema for diverticular XXXX .

@entity1 @entity694 @entity548
AIM: To evaluate the effectiveness of barium impaction therapy for @entity1 with @entity694 . METHODS: We reviewed the clinical charts of @entity1 in whom therapeutic barium enema was performed for the control of diverticular bleeding between August 2010 and March 2012 at Yokohama Rosai Hospital. Twenty @entity1 were included in the review, consisting of 14 @entity1 and 6 @entity1 . The median age of the @entity1 was 73.5 years. The duration of the follow-up period ranged from 1 to 19 mo (median: 9.8 mo). Among the 20 @entity1 were 11 @entity1 who required the procedure for re-bleeding during hospitalization, 6 @entity1 who required it for re-bleeding that developed after the @entity1 left the hospital, and 3 @entity1 who required the procedure for the prevention of re-bleeding. Barium (concentration: 150 w%/v%) was administered per the rectum, and the leading edge of the contrast medium was followed up to the cecum by fluoroscopy. After confirmation that the ascending colon and cecum were filled with barium, the enema tube was withdrawn, and the @entity1 's position was changed every 20 min for 3 h. RESULTS: Twelve @entity1 remained free of re-bleeding during the follow-up period (range: 1-19 mo) after the therapeutic barium enema, including 9 @entity1 and 3 @entity1 with a median age of 72.0 years. Re-bleeding occurred in 8 @entity1 including 5 @entity1 and 3 @entity1 with a median age of 68.5 years: 4 developed early re-bleeding, defined as re-bleeding that occurs within one week after the procedure, and the remaining 4 developed late re-bleeding. The DFI (disease-free interval) decreased 0.4 for 12 mo. Only one @entity1 developed a complication from therapeutic barium enema ( @entity694 ). CONCLUSION: Therapeutic barium enema is effective for the control of diverticular @entity548 in cases where the active bleeding site cannot be identified by colonoscopy.
