Abstract
We retrospectively evaluated computed tomographic colonography examinations of patients who have had a partial bowel preparation and compared the quality of their preparation with patients who have had a full bowel preparation. In total, 27 patients undergoing computed tomographic colonography examination (10 patients with partial bowel preparation and 17 with full bowel preparation) had their examinations retrospectively reviewed by three independent radiologists in a blinded manner, with evaluation of residual stool, distention, residual fluid, and overall bowel preparation quality. Six colon segments were evaluated individually and independently for these four variables (a total of 161 segments tested). Comparisons were made with the Mann–Whitney test between the partial preparation group and the full preparation group. Partial preparation included stool and fluid tagging plus 20 mg of bisacodyl orally; full preparation included stool and fluid tagging plus 2 L of polyethylene glycol solution. No significant clinical difference was found in colon preparation between the partial and full bowel preparation groups—when evaluated with individual colon segments or by independent readers. Interreader correlation was high. This pilot study indicates that full bowel preparation is not required for diagnostic-quality computed tomographic colonography examination. Further evaluation of this partial bowel preparation regimen is warranted.
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Abbreviations
- CT:
-
Computed tomographic
- CTC:
-
Computed tomographic colonography
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Acknowledgment
The authors acknowledge the contributions of Cynthia K. Hustead and Shirley A. Loprino, who assisted with data entry and manuscript preparation.
Conflict of interest
C. Daniel Johnson, MD, has a CT Colonography Software license with GE Medical Systems through Mayo Clinic.
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Johnson, C.D., Scott Kriegshauser, J., Lund, J.T. et al. Partial preparation computed tomographic colonography: a feasibility study. Abdom Imaging 36, 707–712 (2011). https://doi.org/10.1007/s00261-011-9760-7
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DOI: https://doi.org/10.1007/s00261-011-9760-7