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- W4236041017 abstract "Aim: Specific referral guidelines have been drawn up for patients with suspected colorectal cancer, requiring an outpatient appointment within 2 weeks. To meet this increased demand we evaluated the efficacy of fast-track barium enema in the management of such patients. Methods: Patients with suspected colorectal cancer had a barium enema within 2 weeks which was double reported by two consultant radiologists. Patients with a malignancy were booked for a staging CT scan and an outpatient appointment to see a consultant colorectal surgeon. A letter with the result was faxed to the GP the same day. Patients without malignancy were referred back to the GP. Results: Prospective data were obtained on 309 successive patients over a 16-month period. The mean time from referral was 11.5 days and 277 patients (89.6 per cent) were seen within 2 weeks. Thirty-eight patients (12.3 per cent) had a colorectal cancer. Thirty-six patients went on to have a CT scan within a mean of 19.2 days. Mean time to first clinic appointment was 36.0 days. Referrals increased over each 4-month period (66, 60, 71 and 112) but the percentage of positive barium enemas remained similar (15.2 per cent, 10.0 per cent, 12.7 per cent and 11.6 per cent). To date there has been one false-negative examination. Radiologically benign polyps alone were shown in 29 patients (10.7 per cent). Conclusions: The provision of specialist radiology as the first intervention has enabled accurate diagnosis and rapid staging of patients with suspected colorectal cancer. In addition fast-track barium enema has reduced the impact of the 2-week wait on the outpatient management of benign colorectal conditions." @default.
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- W4236041017 date "2002-01-01" @default.
- W4236041017 modified "2023-09-26" @default.
- W4236041017 title "Colorectal 01" @default.
- W4236041017 doi "https://doi.org/10.1046/j.1365-2168.89.s.1.5_1.x" @default.
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