CT colonography: can we achieve an adequate bowel preparation without diet restriction?
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| Title: | CT colonography: can we achieve an adequate bowel preparation without diet restriction? |
|---|---|
| Authors: | Rengo, Marco1 (AUTHOR) marco.rengo@uniroma1.it, Tiberia, Filippo2 (AUTHOR), Vicini, Simone2 (AUTHOR), Bellini, Davide1 (AUTHOR), Celestre, Michela3 (AUTHOR), Trionfera, Gianfranco3 (AUTHOR), Laghi, Andrea4 (AUTHOR), Carbone, Iacopo2 (AUTHOR) |
| Source: | European Radiology. Jul2023, Vol. 33 Issue 7, p5184-5192. 9p. 1 Black and White Photograph, 1 Diagram, 5 Charts, 1 Graph. |
| Subjects: | Virtual colonoscopy, Patient compliance, Diet, Patients' attitudes, Age groups |
| Abstract: | Objective: To evaluate if an adequate bowel preparation for CT colonography, can be achieved without diet restriction, using a reduced amount of cathartic agent and fecal tagging. To investigate the influence of patients' characteristics on bowel preparation and the impact on patients' compliance. Methods: In total, 1446 outpatients scheduled for elective CT colonography were prospectively enrolled. All patients had the same bowel preparation based on a reduced amount of cathartic agent (120 g of macrogol in 1.5 l of water) the day before the exam and a fecal tagging agent (60 ml of hyperosmolar oral iodinated agent) the day of the exam. No dietary restrictions were imposed before the exam. The bowel preparation was evaluated using a qualitative and quantitative score. Patients were grouped by age, gender, and presence of diverticula in both scores. Patients' compliance has been evaluated with a questionnaire after the end of the exam and with a phone-calling interview the day after the exam. Results: According to the qualitative score, adequate bowel preparation was achieved in 1349 patients (93.29%) and no statistical differences were observed among the subgroups of patients. Quantitative scores demonstrated that colon distension was significantly better in younger patients and without diverticula. A good patients' compliance was observed and most patients (96.5%) were willing to repeat it. Conclusions: The lack of diet restriction does not affect the quality of CTC preparation and good patient's compliance could potentially increase the participation rate in CRC screening programs. Key Points: • An adequate quality bowel preparation for CT colonography can be achieved without diet restriction, using a reduced amount of cathartic agent (120 g of macrogol in 1.5 l of water) and fecal tagging (60 ml of hyperosmolar oral iodinated agent). • A bowel preparation based on the combination of a reduced amount of cathartic agent and fecal tagging, without diet restriction, allows obtaining good quality in more than 90% of patients. • The bowel preparation scheme proposed reduces the distress and discomfort experienced by the patients improving adherence to CTC. [ABSTRACT FROM AUTHOR] |
| Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
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| Header | DbId: egs DbLabel: Engineering Source An: 164491491 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: CT colonography: can we achieve an adequate bowel preparation without diet restriction? – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Rengo%2C+Marco%22">Rengo, Marco</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> marco.rengo@uniroma1.it</i><br /><searchLink fieldCode="AR" term="%22Tiberia%2C+Filippo%22">Tiberia, Filippo</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vicini%2C+Simone%22">Vicini, Simone</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bellini%2C+Davide%22">Bellini, Davide</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Celestre%2C+Michela%22">Celestre, Michela</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Trionfera%2C+Gianfranco%22">Trionfera, Gianfranco</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Laghi%2C+Andrea%22">Laghi, Andrea</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carbone%2C+Iacopo%22">Carbone, Iacopo</searchLink><relatesTo>2</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Jul2023, Vol. 33 Issue 7, p5184-5192. 9p. 1 Black and White Photograph, 1 Diagram, 5 Charts, 1 Graph. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Virtual+colonoscopy%22">Virtual colonoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Diet%22">Diet</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Age+groups%22">Age groups</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: To evaluate if an adequate bowel preparation for CT colonography, can be achieved without diet restriction, using a reduced amount of cathartic agent and fecal tagging. To investigate the influence of patients' characteristics on bowel preparation and the impact on patients' compliance. Methods: In total, 1446 outpatients scheduled for elective CT colonography were prospectively enrolled. All patients had the same bowel preparation based on a reduced amount of cathartic agent (120 g of macrogol in 1.5 l of water) the day before the exam and a fecal tagging agent (60 ml of hyperosmolar oral iodinated agent) the day of the exam. No dietary restrictions were imposed before the exam. The bowel preparation was evaluated using a qualitative and quantitative score. Patients were grouped by age, gender, and presence of diverticula in both scores. Patients' compliance has been evaluated with a questionnaire after the end of the exam and with a phone-calling interview the day after the exam. Results: According to the qualitative score, adequate bowel preparation was achieved in 1349 patients (93.29%) and no statistical differences were observed among the subgroups of patients. Quantitative scores demonstrated that colon distension was significantly better in younger patients and without diverticula. A good patients' compliance was observed and most patients (96.5%) were willing to repeat it. Conclusions: The lack of diet restriction does not affect the quality of CTC preparation and good patient's compliance could potentially increase the participation rate in CRC screening programs. Key Points: • An adequate quality bowel preparation for CT colonography can be achieved without diet restriction, using a reduced amount of cathartic agent (120 g of macrogol in 1.5 l of water) and fecal tagging (60 ml of hyperosmolar oral iodinated agent). • A bowel preparation based on the combination of a reduced amount of cathartic agent and fecal tagging, without diet restriction, allows obtaining good quality in more than 90% of patients. • The bowel preparation scheme proposed reduces the distress and discomfort experienced by the patients improving adherence to CTC. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00330-023-09471-w Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 5184 Subjects: – SubjectFull: Virtual colonoscopy Type: general – SubjectFull: Patient compliance Type: general – SubjectFull: Diet Type: general – SubjectFull: Patients' attitudes Type: general – SubjectFull: Age groups Type: general Titles: – TitleFull: CT colonography: can we achieve an adequate bowel preparation without diet restriction? Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Rengo, Marco – PersonEntity: Name: NameFull: Tiberia, Filippo – PersonEntity: Name: NameFull: Vicini, Simone – PersonEntity: Name: NameFull: Bellini, Davide – PersonEntity: Name: NameFull: Celestre, Michela – PersonEntity: Name: NameFull: Trionfera, Gianfranco – PersonEntity: Name: NameFull: Laghi, Andrea – PersonEntity: Name: NameFull: Carbone, Iacopo IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 09387994 Numbering: – Type: volume Value: 33 – Type: issue Value: 7 Titles: – TitleFull: European Radiology Type: main |
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