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.