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Diagnostic Performance Of Computed Tomographic Colonography With Limitedcathatric Preparation In Detection Of Colorectal Polyps; Comparison With Conventional Colonoscopy | 29477
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
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Diagnostic performance of computed tomographic colonography with limitedcathatric preparation in detection of colorectal polyps; Comparison with conventional colonoscopy

4th International Conference on Gastroenterology

Mohammed Farghally Amin and AymanHassanin

Posters-Accepted Abstracts: J Gastrointest Dig Syst

DOI: 10.4172/2161-069X.S1.026

Abstract
Purpose: To prospectively evaluate the diagnostic performance ofComputed Tomographic Colonography with limited bowel preparation for the depiction of colorectal polyps, by using conventional colonoscopy as the goldstandard technique. Material and Methods:Study included forty fiveconsecutively registered patients referred for conventional colonoscopy for colorectal cancer screening or for evaluation of colorectal symptoms;they were scheduled to underwentMDCT examination on the same day at Radiology Department in our institution, before the conventional colonoscopy examination. All patientsunderwent limited preparation. Main outcome measures: Sensitivity, specificity, positive and negative predictive value of CTC versus CCin each group and overall. Results: A total of 60 polypoid lesions were detected with colonoscopy in45 patientsover all sensitivity of CTC in polypdetection was 85.71%, specificity 71.24, PPV 96.77 and NPV 33.33, as regarding CTC performance in each group. Conclusion: This study proved that CTC with limited cathartic bowel preparation and iodinated agents for faecal tagging can obtain high sensitivity and PPV values results for <5 mm polyps comparable to those obtained with conventional preparation with laxatives. Furthermore, this method could really improve the acceptance of CTC for colorectal cancer screening.
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