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MILTON KUNIN, MD
Los Angeles

AMA Arch Surg. 1974;109(1):123.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—It has long been accepted by radiologists that the demonstration of a Meckel diverticulum by means of barium examination is difficult. However, nothing in the article entitled "Futility of Barium Sulfate in Diagnosis of Bleeding Meckel Diverticulum" (Arch Surg 108:361, 1974) warrants the authors' conclusions. Of 32 infants studied, only four had a small bowel study! In the 29 who had a barium enema, was any attempt made to reflux barium into the small bowel? In other words, their conclusion that barium examination is useless amounts to a non sequitur.

Even their recommendation of a sodium pertechnetate Tc 99m scan lacks documentation. How many of the infants had such a scan? In how many was the correct diagnosis afforded by this study? How many false-positives were encountered? In short, in my opinion their report hardly merits publication in a scientific journal. . . . [Full Text PDF of this Article]

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