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Previous Volume 329:2040 December 30, 1993 Number 27 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The Image in Clinical Medicine "Colocolic Fistula" (June 17 issue)¹ is a splendid radiographic demonstration of a typical complication of Crohn's disease. For a clinician, however, this nice image also raises an important question: Why would a doctor ask for a study using a double-contrast barium enema in an asymptomatic 31-year-old woman with a history of Crohn's colitis? In view of the potential hazards of radiation and recent discussions about the cost of health care² and health care reform,³ it would seem appropriate to view such an imaging study critically from the perspective of its clinical relevance . . . [Full Text of this Article]

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