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Mike Mitka

JAMA. 2009;301(2):149.

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

Chicago—Improvements in imaging and treatments have caused a substantial decrease in the use of gastrointestinal (GI) fluoroscopy.

Data presented at the Radiological Society of North America's Scientific Assembly in December revealed that about 4.2 million GI fluoroscopy procedures were performed in the United States in 2006, a 22% decline from about 5.4 million performed in 2001. During that period, the number of barium enemas decreased 56%, upper GI studies declined 37%, and small bowel examinations fell 8%. During the same period, however, swallowing studies increased 12% and esophagograms increased 8% (DiSantis DJ. AJR Am J Roentgenol. 2008;191[5]:1480-1482). The numbers of procedures were based on extrapolated Medicare data.

In 2006, 31% of all GI fluoroscopy procedures were swallowing studies. In addition, 28% were upper GI studies, 18% were esophagography, 13% were barium enemas, and 9% were small bowel examinations.

The decrease in GI fluoroscopy procedures reflects such . . . [Full Text of this Article]

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