Is minimal preparation computed tomography comparable with barium enema in elderly patients with colonic symptoms?

Domjan, J.; Blaquière, R. M.; Odurny, A.

doi:10.1016/s0009-9260(98)80215-8

Cited by 26 publications

(11 citation statements)

References 13 publications

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“…Interestingly, the frequency scores of the individual symptom items such as hard stool, urgency, flatus, frequent urination and chest discomfort in the distal diverticular group were higher than those in the controls, whereas the score of the proximal diverticular group was not different from that of the controls. This result was compatible with results of a previous report (26), which demonstrated that the diverticular group had a relatively short illness history on presentation. Although the reason why abdominal symptoms are distinct especially only in the distal diverticular group, is not well understood, whether the development of diverticulosis is congenital or acquired might be the clue.…”

Section: Discussionsupporting

confidence: 93%

“…Although the reason why abdominal symptoms are distinct especially only in the distal diverticular group, is not well understood, whether the development of diverticulosis is congenital or acquired might be the clue. The distal diverticulosis is considered to be an acquired herniation (26, 27) that is due to the condition of pulsation. In addition, the colonic compliance of the patients in distal diverticular group was thought to be lower than that in the proximal diverticular group (12, 28).…”

Section: Discussionmentioning

confidence: 99%

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Clinical Significance of Colonic Diverticulosis Associated with Bowel Symptoms and Colon Polyp

et al. 2010

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This study was done to evaluate prospectively the clinical significance of colonic diverticulosis. In the 1,030 consecutive outpatients undergoing colonoscopy, the information on the demographics, the patterns of bowel symptoms, and the prevalence of colon polyp were analyzed according to the presence of colonic diverticulosis. The mean age of 1,030 patients were 52.2 yr and 59.3% were male. The prevalence of diverticulosis was 19.7% (203/1,030). Of 203 diverticulosis patients 85.2% were in proximal group, 5.4% in distal group and 9.4% in both group. Six (3.0%) patients were found to have diverticulitis. Multivariate logistic regression analysis showed that an old age, diabetes and the presence of polyp were significant factors associated with proximal or both diverticulosis. A significant difference was demonstrated between the patients of distal diverticular group and the controls for the symptom frequency scores within the previous 4 weeks. The items, which showed difference, were hard stool, urgency, flatus, chest discomfort and frequent urination. In conclusion, old age, diabetes and the presence of colon polyp were associated with proximal diverticulosis. The temporal symptoms were more frequent in distal diverticulosis than in proximal diverticulosis in the study subjects.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Clinical Significance of Colonic Diverticulosis Associated with Bowel Symptoms and Colon Polyp

et al. 2010

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“…Seventeen papers were found. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] Of these, 10 papers evaluated the clinical utility of MPCT. Results are summarized in Table 2.…”

Section: Resultsmentioning

confidence: 99%

Minimal preparation CT: A literature review of a minimally invasive imaging technique for colorectal cancer in a frail, aged population

et al. 2017

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SummaryColorectal cancer (CRC) is a common malignancy with increased incidence in the elderly. When CRC is suspected, patients are typically evaluated with optical colonoscopy (OC) or CT Colonography (CTC). Unfortunately, in the frail and elderly patient, these investigations can be difficult to perform and are often not tolerated. Minimal preparation computed tomography (MPCT) is a CT technique to evaluate the colon. Although protocols vary, typically, no preparation is required apart from administration of oral contrast for faecal tagging. The patient is scanned in the supine position only and without colonic insufflation. The study is reserved for 'old-old' frail patients with clinically suspected CRC who cannot tolerate or have failed OC or CTC. In the context of an ageing population, MPCT provides a simple, minimally invasive, readily available and well-tolerated test that is able to demonstrate clinically relevant disease. We review the literature on MPCT and discuss the benefits and limitations of this investigation.

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“…The basic premise is that it is the detection of colonic cancer that is important in this elderly cohort and it is presumed that the presence of polyps is of less clinical relevance. Comparative studies of MPCT with barium enema demonstrate the former to be reasonably sensitive (75-96%) and specific (82-94%) for detecting colonic malignancy [4,9]. Published data have shown that MPCT is well tolerated by the elderly population who are intolerant of bowel preparation [9].…”

mentioning

confidence: 99%

“…There are a number of published studies regarding the use of computed tomography (CT) of the colon without complete bowel preparation as an alternative tool for investigating elderly patients with suspected bowel cancer [4][5][6][7][8]. Minimal-preparation computed tomography (MPCT) colon was first described by Day et al in the early 1990s as an alternative technique for imaging the large bowel in frail elderly patients with suspected colorectal pathology who are referred for barium enema [9].…”

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confidence: 99%

Minimal-preparation CT colon in detection of colonic cancer, the Oxford experience

et al. 2006

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Is minimal preparation computed tomography comparable with barium enema in elderly patients with colonic symptoms?

Cited by 26 publications

References 13 publications

Clinical Significance of Colonic Diverticulosis Associated with Bowel Symptoms and Colon Polyp

Clinical Significance of Colonic Diverticulosis Associated with Bowel Symptoms and Colon Polyp

Minimal preparation CT: A literature review of a minimally invasive imaging technique for colorectal cancer in a frail, aged population

Minimal-preparation CT colon in detection of colonic cancer, the Oxford experience

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