Barium enema in frail elderly patients

Refael Segal, Auni Khahil, Arthur Leibovitz, Israel Gil, Mustafa Annuar, Beno Habot

Research output: Contribution to journalArticlepeer-review


Background: Barium enema (BE) examinations for the investigation of suspected colonic disease are often unsuccessful in elderly patients. Objective: The purpose of this study was to evaluate the success rate of BE in hospitalized frail elderly patients. Methods: Four hundred and seventy-two elderly patients hospitalized for different reasons underwent BE examinations. The medical charts and radiological reports were retrospectively reviewed. Results: One hundred and ninety-two (41%) BE examinations were considered inadequate; mostly (32%) because of inappropriate preparation. Sixty-seven patients (14%)were not cooperative and could not retain the contrast material, and in 25 patients (5%), the examination failed due to both these reasons. The characteristics associated with unsuccessful BE examination were the mean number of medical problems (p < 0.001), the mean number of scheduled medications (p < 0.05) and in particular the long-term use of laxatives (p < 0.01) or antiparkinsonian drugs (p < 0.01). Of great significance in predicting an inadequate BE were the patient's functional status (p < 0.001) and the presence of dementia (p < 0.001). Conclusions: The high percentage of unsuccessful BEs in the frail elderly suggests that clinicians should carefully consider the need for that examination in these patients. We suggest that only in patients where there is a clear suspicion of a bleeding or obstructing tumor should a BE examination be performed, and even in these cases, colonoscopy or CT may be preferable as the initial examination in the frail elderly. Copyright (C) 2000 S. Karger AG, Basel.

Original languageEnglish
Pages (from-to)78-82
Number of pages5
Issue number2
StatePublished - 2000


  • Barium enema
  • Frail elderly


Dive into the research topics of 'Barium enema in frail elderly patients'. Together they form a unique fingerprint.

Cite this