CT colonography in a Korean population with a high residue diet: Comparison between wet and dry preparations

Kim, S.H.; Choi, Byung Ihn; Han, Joon Koo; Lee, J.M.; Eun, Hyo Won; Lee, K.H.; Han, Chengyan; Choi, Ye Ra; Shin, Kyung Sook

doi:10.1016/j.crad.2006.01.012

Cited by 19 publications

(8 citation statements)

References 21 publications

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“…When one uses limited bowel preparations, adequate tagging of residual contents becomes increasingly important, as more residual solid stool and fl uid is expected. Interestingly, we observed improved tagging of both residual solid pretation; however, this factor may result in longer interpretation times, presumably caused by increased residual solid stool obscuring the colonic wall ( 26,36 ). Although no signifi cant differences were observed in the amount of residual solid stool or fl uid, there was a trend toward more solid stool in the magnesium citrate group.…”

Section: Gastrointestinal Imaging: Reduced Bowel Preparation For Ct Cmentioning

confidence: 59%

“…Feasibility studies involving limited bowel preparation have shown promising results (16)(17)(18)(19)(20)(21)(22)(23)(24)(25). Magnesium citrate, a low-volume osmotic laxative, is an effective small-volume bowel preparation, but its use may lead to adherent residual solid stool and thereby prolong interpretation times ( 26 ). Magnesium citrate preparations also carry an increased risk for hemodynamic and electrolyte disturbances (27)(28)(29)(30), compared with osmotically balanced lavage solutions such as polyethylene glycol (PEG).…”

Section: Discussionmentioning

confidence: 99%

“…Researchers in previous studies have compared reduced-volume PEG with standard 4-L PEG preparations (31)(32)(33), reduced-volume PEG with small-volume sodium phosphate preparations ( 26,34,35 ), magnesium citrate combined with sodium phosphate with magnesium citrate alone ( 36 ) or 4-L PEG ( 37 ), and mag nesium citrate with sodium phosphate ( 25,38,39 ). To our knowledge, the reduced-volume PEG preparation has not been directly compared with the magnesium citrate preparation.…”

Section: Discussionmentioning

confidence: 99%

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Reduced Cathartic Bowel Preparation for CT Colonography: Prospective Comparison of 2-L Polyethylene Glycol and Magnesium Citrate

Keedy¹,

Yee²,

Aslam³

et al. 2011

Radiology

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Purpose:To prospectively compare adequacy of colonic cleansing, adequacy of solid stool and fl uid tagging, and patient acceptance by using reduced-volume, 2-L polyethylene glycol (PEG) versus magnesium citrate bowel preparations for CT colonography. Materials and Methods:This study was approved by the institutional Committee on Human Research and was compliant with HIPAA; all patients provided written consent. In this randomized, investigatorblinded study, 50 patients underwent oral preparation with either a 2-L PEG or a magnesium citrate solution, tagging with oral contrast agents, and subsequent CT colonography and segmentally unblinded colonoscopy .

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Section: Gastrointestinal Imaging: Reduced Bowel Preparation For Ct Cmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reduced Cathartic Bowel Preparation for CT Colonography: Prospective Comparison of 2-L Polyethylene Glycol and Magnesium Citrate

Keedy¹,

Yee²,

Aslam³

et al. 2011

Radiology

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“…Both wet and dry preparations have been described by various authors. Kim et al (6) have described the wet preparation to be better in terms of image quality and interpretation time. Advantages of tagging have also been described.…”

Section: Discussionmentioning

confidence: 99%

Comparison of CT Colonography with Conventional Colonoscopy in Patients with Ulcerative Colitis

et al. 2015

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“…typically 236 g of PEG mixed with 4 L of water) should be given. One study performed in a Korean population with a high residue diet showed better colonic cleansing and shorter CTC interpretation times with using PEG as compared to sodium phosphate (8). However, in general, PEG is known to provide inferior bowel cleansing as compared to sodium phosphate (7, 9, 10).…”

Section: Bowel Preparationmentioning

confidence: 99%

Fundamental Elements for Successful Performance of CT Colonography (Virtual Colonoscopy)

Yee

Kim

2007

Korean J Radiol

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There are many factors affecting the successful performance of CT colonography (CTC). Adequate colonic cleansing and distention, the optimal CT technique and interpretation with using the newest CTC software by a trained reader will help ensure high accuracy for lesion detection. Fecal and fluid tagging may improve the diagnostic accuracy and allow for reduced bowel preparation. Automated carbon dioxide insufflation is more efficient and may be safer for colonic distention as compared to manual room air insufflation. CT scanning should use thin collimation of ≤3 mm with a reconstruction interval of ≤1.5 mm and a low radiation dose. There is not any one correct method for the interpretation of CTC; therefore, readers should be well-versed with both the primary 3D and 2D reviews. Polyps detected at CTC should be measured accurately and reported following the "polyp size-based" patient management system. The time-intensive nature of CTC and the limited resources for training radiologists appear to be the major barriers for implementing CTC in Korea.

show abstract

CT colonography in a Korean population with a high residue diet: Comparison between wet and dry preparations

Cited by 19 publications

References 21 publications

Reduced Cathartic Bowel Preparation for CT Colonography: Prospective Comparison of 2-L Polyethylene Glycol and Magnesium Citrate

Reduced Cathartic Bowel Preparation for CT Colonography: Prospective Comparison of 2-L Polyethylene Glycol and Magnesium Citrate

Comparison of CT Colonography with Conventional Colonoscopy in Patients with Ulcerative Colitis

Fundamental Elements for Successful Performance of CT Colonography (Virtual Colonoscopy)

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