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R G Norfleet

Publications and source records attributed to R G Norfleet.

At least 55 records · Page 3Linked to original sources
PubMed1979

The bobbin' polyp.

Explore the source record for details and available documents.

Colonic Neoplasms↗
PubMed1976

Does bacteremia follow colonoscopy?

In order to determine the risk of bacteremia from colonoscopy, we cultured blood specimens from 40 patients the day before laxative and enema preparation; right after such preparation; and 15 min, 1 hr, and 4 hr after colonscopy. Bacteremia was not induced by either the vigorous preparation or the colonscopy which, in 27 patients, included polypectomy, biopsy, and/or fulgurations. On the basis of our data, we conclude that the risk of bacteremia following colonoscopy is small, and we doubt the need of antibiotic prophylaxis for those with susceptible hearts.

Colon↗
PubMedDate not supplied

The significance of diminutive colonic polyps found at flexible sigmoidoscopy.

In order to determine the importance of identification and follow-up of diminutive colonic polyps (DCPs) (i.e., those less than or equal to 5 mm in diameter), we studied 3006 patients undergoing flexible sigmoidoscopy. DCPs were found in 315 patients (10.5%). Biopsy of these lesions showed them to be nonneoplastic in 187 patients (59.4%) and neoplastic in 128 (40.6%). Overall, 35% of all DCPs found were neoplastic. Gross appearance of the lesions was found to be an unreliable means of predicting their histologic makeup. Of the 128 patients with neoplastic DCPs, 73 underwent further examination with barium enema and colonoscopy. Synchronous lesions were found in 57.5%. In 10 patients, synchronous lesions were of significance, including carcinomas, adenomas greater than or equal to 8 mm in diameter, or severely dysplastic adenomas. We conclude that all DCPs discovered at sigmoidoscopy should be biopsied and in patients in whom DCPs are found to be neoplastic, colonoscopy should be undertaken to search for proximal synchronous lesions.

Adenoma↗
PubMedDate not supplied

Barium enema versus colonoscopy for patients with polyps found during flexible sigmoidoscopy.

This prospective study compares the accuracy of barium enema examination performed by experienced radiologists to colonoscopy performed by experienced gastroenterologists blinded to the radiographic findings to detect proximal, synchronous lesions in patients with polyps detected during fiberoptic sigmoidoscopy. Three thousand six patients were examined, of whom 147 (5%) had polyps larger than 0.5 cm in diameter. Of 114 patients who completed the protocol, 46 patients (40%) had synchronous, proximal colonic lesions. There were no radiographic false positives, but the single-contrast barium enema missed polyps in 13 while detecting polyps in 2 patients (sensitivity = 13%). The double-contrast barium enema missed proximal polyps in 23 patients while detecting them in 8 (sensitivity = 26%). We conclude that patients with neoplastic polyps found during fiberoptic sigmoidoscopy should have colonoscopy without barium enema. If the entire colon cannot be examined at colonoscopy, we advise double-contrast barium enema.

Adenocarcinoma↗