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Published on: December 8, 2014
[CT-colonography after incomplete conventional colonoscopy].
Steffen Brisling1, Sven Adamsen, Henrik Nørgaard
1Herlev Hospital, Gastroenheden, Kirurgisk Sektion D-113, Herlev.
Same-day CT colonography (CTC) after incomplete conventional colonoscopy (CC) is feasible. This approach effectively identifies polyps and masses, improving diagnostic yield and detecting extra-intestinal disease.
Area of Science:
- Gastroenterology
- Radiology
- Medical Imaging
Background:
- Conventional colonoscopy (CC) is often incomplete.
- CT colonography (CTC) is recommended as a follow-up for incomplete CC.
- This study evaluates same-day CTC after incomplete CC.
Purpose of the Study:
- To assess the feasibility of performing CT colonography (CTC) on the same day as an incomplete conventional colonoscopy (CC).
- To evaluate the diagnostic outcomes of same-day CTC following incomplete CC.
Main Methods:
- 50 patients with incomplete CC (excluding poor preparation) underwent same-day CTC.
- CTC was performed in dual positions without contrast.
- Patients with suspected polyps on CTC underwent repeat CC or surgery for verification.
Main Results:
- 86% of same-day CTCs were conclusive.
- CTC detected 17 suspected polyps/masses, with 13 verified (28% of patients).
- Detection rates varied by size, including 2 cancers; 38% had incidental extra-intestinal findings.
Conclusions:
- Same-day CT colonography is a feasible and effective option after incomplete conventional colonoscopy.
- This strategy improves diagnostic yield and can reveal unexpected findings.
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