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Screening Colonoscopy: Endoscopic or Virtual

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The SAGES Manual of Strategic Decision Making
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With improvements in computed tomography (CT) scan resolution, virtual colonoscopy using reconstructed CT images has emerged as a potential alternative to endoscopy. This chapter explores the role of this alternative to traditional colonoscopic examination.

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References

  • Cotton PB, Durkalski VL, Benoit PC, et al. Computed tomographic colonography (virtual colonoscopy)—a multicenter comparison with standard colonoscopy for detection of colorectal neoplasia. JAMA 2004;291:1713–1719.

    Article  CAS  PubMed  Google Scholar 

  • Halligan S, Altman DG, Taylor SA, et al. CT colonography in the detection of colorectal polyps and cancer: systematic review, meta-analysis, and proposed minimum data set for study level reporting. Radiology 2005;237:893–904.

    Article  PubMed  Google Scholar 

  • Macari M, Milano A, Lavelle M, Berman P, Megibow AJ. Comparison of time-efficient CT colonography with two- and three- dimensional colonic evaluation for detecting colorectal polyps. AJR Am J Roentgenol 2000;174:1543–1549.

    CAS  PubMed  Google Scholar 

  • Mulhall BP, Veerappan GR, Jackson JL. Meta-Analysis: Computed tomographic colonography. Ann Intern Med 2005;142:635–650.

    PubMed  Google Scholar 

  • Pickhardt PJ, Choi JR, Hwang I, et al. Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults. N Engl J Med 2003;349:2191–2200.

    Article  CAS  PubMed  Google Scholar 

  • Rockey DC, Paulson E, Niedzwiecki D, et al. Analysis of air contrast barium enema, computed tomographic colonography, and colonoscopy: prospective comparison. Lancet 2005;365:305–311.

    CAS  PubMed  Google Scholar 

Suggested Readings

  • Callstrom MR, Johnson CD, Fletcher JG, et al. CT colonography without cathartic preparation: feasibility study. Radiology 2001;219:693–698.

    CAS  PubMed  Google Scholar 

  • Fenlon HM, Barish MA, Clarke PD, Ferrucci JT. Virtual colonoscopy in occlusive colon carcinoma: preoperative evaluation of the proximal colon. Radiology 1998;209P:689.

    Google Scholar 

  • Hixson LJ, Fennerty MB, Samplinger RE, Garewal HS. Prospective blinded trial of the colonoscopic miss-rate of large colorectal polyps. Gastrointestinal Endoscopy 1991;37:125–7.

    Article  CAS  PubMed  Google Scholar 

  • Iannaccone R, Laghi A, Catalano C, et al. Detection of colorectal lesions: lower-dose multi-detector row helical CT colonography compared with conventional colonoscopy. Radiology 2003;229:775–781.

    Article  PubMed  Google Scholar 

  • Johnson CD, Toledano AY, Herman BA, et al. Computerized tomographic colonography: performance evaluation in a retrospective multicenter setting. Gastroenterology 2003;125:688–695.

    Article  PubMed  Google Scholar 

  • Lefere PA, Gryspeerdt SS, Dewyspelaere J, Baekelandt M, Van Holsbeeck BG. Dietary fecal tagging as a cleansing method before CT colonography: initial results polyp detection and patient acceptance. Radiology 2002;224:393–403.

    Article  PubMed  Google Scholar 

  • Lieberman DA, Weiss DG, Bond JH, Ahnen DJ, Garewal H, Chejec G. Use of colonoscopy to screen asymptomatic adults for colorectal cancer. N Engl J Med 2000;83:162–169.

    Article  Google Scholar 

  • Macari M, Berman P, Dicker M, Milano A, Megibow AJ. Usefulness of CT colonography in patients with incomplete colonoscopy. AJR Am J Roentgenol 1999;173:561–564.

    CAS  PubMed  Google Scholar 

  • Pickhardt PJ, Choi JR, Hwang I, Schindler WR. Nonadenomatous polyps at CT colonography: prevalence, size distribution, and detection rates. Radiology 2004;232:784–790.

    Article  PubMed  Google Scholar 

  • Pickhardt PJ, Nugent PA et al. Location of adenomas missed by optical colonoscopy. Ann Intern Med 2004;141:352–359.

    PubMed  Google Scholar 

  • Rex DK, Cutler CS, Lemmet GT, Rahmani EY, et al. Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies. Gastroenterology 1997;112:24–28.

    Article  CAS  PubMed  Google Scholar 

  • Summers RM, Yao J, Pickhardt PJ, et al. Computed tomographic virtual colonoscopy computer-aided polyp detection in a screening population. Gastroenterology 2005;129:1832–1844.

    Article  PubMed  Google Scholar 

  • van Gelder RE, Venema HW, Serlie IW, et al. CT colonography at different radiation dose levels: feasibility of dose reduction. Radiology 2002;224:25–33.

    Article  PubMed  Google Scholar 

  • Zalis ME, Hahn PF. Digital subtraction bowel cleansing in CT colonography. AJR Am J Roentgenol 2001;176:646–648.

    CAS  PubMed  Google Scholar 

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Royer, N.A., Arnell, T.D., Yeshwant, S.C., Summers, R.M. (2008). Screening Colonoscopy: Endoscopic or Virtual. In: Scott-Conner, C.E.H. (eds) The SAGES Manual of Strategic Decision Making. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76671-3_43

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  • DOI: https://doi.org/10.1007/978-0-387-76671-3_43

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-76670-6

  • Online ISBN: 978-0-387-76671-3

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