PubMed · 414603
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L Berlin. 1978. The clean colon: whose responsibility?. https://doi.org/10.2214/ajr.130.2.403
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The conditioned state of a precipitation membrane with its particular properties exists within a limited range of membrane potentials and requires certain minimum concentrations, Clim, of the generating ions in the adjoining solutions. We investigated these quantities for the BaSO4 cellophane membrane and found Clim to be 10 X 10(-5) N (0.5 X 10(-4) M), equally for Ba++ and SO4--. Beyond these limits, the membrane becomes deconditioned. This transformation is a reversible process provided the limits have not been surpassed too far. The capability for de- and reconditioning is a characteristic and unique property of precipitation membranes, not found in other membrane systems. The phenomenon is explained by the adsorption theory for precipitation membranes. It allows wide modifications and quick variations of the electrical properties and permeability of the membrane in an easy and reversible manner.
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Frequently, the clinical significance of the barium contrast enema is minimal because of inadequate colon preparation prior to examination. The frequency of false-positive routine barium enemas was 17% in 230 consecutive patients who underwent colonoscopy for removal of specific radiographically identified polypoid colon lesions. Initial barium enema inaccuracies were documented with postendoscopic air-contrast radiography in colons that were endoscopically proved to be mechanically clean following a two-day colon preparation. These results suggest that more emphasis on a two-day colon preparation, before the initial barium contrast enema, would substantially reduce the frequency of false-positive interpretations.