CT colonography

Patient tolerance of laxative free fecal tagging regimen versus traditional cathartic cleansing

Duccio Buccicardi, Massimo Grosso, Ilaria Caviglia, Alessandro Gastaldo, Sabrina Carbone, Emanuele Neri, Carlo Bartolozzi, Piergiorgio Quadri

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose: The aim of our prospective study was to compare patient tolerance of laxative free fecal tagging regimen (LFT) versus traditional cathartic cleansing (TC). Materials and methods: 264 patients, at average risk for development of colorectal cancer (105 men and 159 women; mean age 62 years ± 5 SD), underwent 32 rows CT colonography. Patients were alternatively placed into 2 study groups: Group 1 (n = 132) followed TC and Group 2 (n = 132) LFT. TC protocol consisted of no fiber diet and Phospho-lax® 80 mL in 2 L of water the day before imaging. LFT protocol consisted of no fiber diet and ingestion with meals of 30 mL of water-soluble iodinated contrast agent (Gastrografin®) for 2 days before imaging. No frank laxative drugs were administered. All studies were reviewed in a combined fashion, primary 2D followed by 3D endoluminal and dissected views. After the examination all patients were asked to provide a feedback about tolerance to the each bowel preparation. The first 30 patients of each group were also investigated with optical colonoscopy (OC) used as gold standard to confirm our diagnosis (Group 1* and Group 2*). Conclusions: LFT reduces discomfort and seems to improve diagnostic accuracy of CTC.

Original languageEnglish
Pages (from-to)532-537
Number of pages6
JournalAbdominal Imaging
Volume36
Issue number5
DOIs
Publication statusPublished - Oct 2011

Fingerprint

Cathartics
Computed Tomographic Colonography
Laxatives
Diatrizoate Meglumine
Diet
Water
Colonoscopy
Contrast Media
Meals
Colorectal Neoplasms
Eating
Prospective Studies
Pharmaceutical Preparations

Keywords

  • Bowel preparation
  • CT colonography
  • Diagnostic accuracy
  • Discomfort
  • Fecal tagging
  • Traditional cathartic cleansing

ASJC Scopus subject areas

  • Gastroenterology
  • Urology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Buccicardi, D., Grosso, M., Caviglia, I., Gastaldo, A., Carbone, S., Neri, E., ... Quadri, P. (2011). CT colonography: Patient tolerance of laxative free fecal tagging regimen versus traditional cathartic cleansing. Abdominal Imaging, 36(5), 532-537. https://doi.org/10.1007/s00261-010-9650-4

CT colonography : Patient tolerance of laxative free fecal tagging regimen versus traditional cathartic cleansing. / Buccicardi, Duccio; Grosso, Massimo; Caviglia, Ilaria; Gastaldo, Alessandro; Carbone, Sabrina; Neri, Emanuele; Bartolozzi, Carlo; Quadri, Piergiorgio.

In: Abdominal Imaging, Vol. 36, No. 5, 10.2011, p. 532-537.

Research output: Contribution to journalArticle

Buccicardi, D, Grosso, M, Caviglia, I, Gastaldo, A, Carbone, S, Neri, E, Bartolozzi, C & Quadri, P 2011, 'CT colonography: Patient tolerance of laxative free fecal tagging regimen versus traditional cathartic cleansing', Abdominal Imaging, vol. 36, no. 5, pp. 532-537. https://doi.org/10.1007/s00261-010-9650-4
Buccicardi, Duccio ; Grosso, Massimo ; Caviglia, Ilaria ; Gastaldo, Alessandro ; Carbone, Sabrina ; Neri, Emanuele ; Bartolozzi, Carlo ; Quadri, Piergiorgio. / CT colonography : Patient tolerance of laxative free fecal tagging regimen versus traditional cathartic cleansing. In: Abdominal Imaging. 2011 ; Vol. 36, No. 5. pp. 532-537.
@article{150351d788bb41a898d1654e16e02507,
title = "CT colonography: Patient tolerance of laxative free fecal tagging regimen versus traditional cathartic cleansing",
abstract = "Purpose: The aim of our prospective study was to compare patient tolerance of laxative free fecal tagging regimen (LFT) versus traditional cathartic cleansing (TC). Materials and methods: 264 patients, at average risk for development of colorectal cancer (105 men and 159 women; mean age 62 years ± 5 SD), underwent 32 rows CT colonography. Patients were alternatively placed into 2 study groups: Group 1 (n = 132) followed TC and Group 2 (n = 132) LFT. TC protocol consisted of no fiber diet and Phospho-lax{\circledR} 80 mL in 2 L of water the day before imaging. LFT protocol consisted of no fiber diet and ingestion with meals of 30 mL of water-soluble iodinated contrast agent (Gastrografin{\circledR}) for 2 days before imaging. No frank laxative drugs were administered. All studies were reviewed in a combined fashion, primary 2D followed by 3D endoluminal and dissected views. After the examination all patients were asked to provide a feedback about tolerance to the each bowel preparation. The first 30 patients of each group were also investigated with optical colonoscopy (OC) used as gold standard to confirm our diagnosis (Group 1* and Group 2*). Conclusions: LFT reduces discomfort and seems to improve diagnostic accuracy of CTC.",
keywords = "Bowel preparation, CT colonography, Diagnostic accuracy, Discomfort, Fecal tagging, Traditional cathartic cleansing",
author = "Duccio Buccicardi and Massimo Grosso and Ilaria Caviglia and Alessandro Gastaldo and Sabrina Carbone and Emanuele Neri and Carlo Bartolozzi and Piergiorgio Quadri",
year = "2011",
month = "10",
doi = "10.1007/s00261-010-9650-4",
language = "English",
volume = "36",
pages = "532--537",
journal = "Abdominal Imaging",
issn = "0942-8925",
publisher = "Springer New York",
number = "5",

}

TY - JOUR

T1 - CT colonography

T2 - Patient tolerance of laxative free fecal tagging regimen versus traditional cathartic cleansing

AU - Buccicardi, Duccio

AU - Grosso, Massimo

AU - Caviglia, Ilaria

AU - Gastaldo, Alessandro

AU - Carbone, Sabrina

AU - Neri, Emanuele

AU - Bartolozzi, Carlo

AU - Quadri, Piergiorgio

PY - 2011/10

Y1 - 2011/10

N2 - Purpose: The aim of our prospective study was to compare patient tolerance of laxative free fecal tagging regimen (LFT) versus traditional cathartic cleansing (TC). Materials and methods: 264 patients, at average risk for development of colorectal cancer (105 men and 159 women; mean age 62 years ± 5 SD), underwent 32 rows CT colonography. Patients were alternatively placed into 2 study groups: Group 1 (n = 132) followed TC and Group 2 (n = 132) LFT. TC protocol consisted of no fiber diet and Phospho-lax® 80 mL in 2 L of water the day before imaging. LFT protocol consisted of no fiber diet and ingestion with meals of 30 mL of water-soluble iodinated contrast agent (Gastrografin®) for 2 days before imaging. No frank laxative drugs were administered. All studies were reviewed in a combined fashion, primary 2D followed by 3D endoluminal and dissected views. After the examination all patients were asked to provide a feedback about tolerance to the each bowel preparation. The first 30 patients of each group were also investigated with optical colonoscopy (OC) used as gold standard to confirm our diagnosis (Group 1* and Group 2*). Conclusions: LFT reduces discomfort and seems to improve diagnostic accuracy of CTC.

AB - Purpose: The aim of our prospective study was to compare patient tolerance of laxative free fecal tagging regimen (LFT) versus traditional cathartic cleansing (TC). Materials and methods: 264 patients, at average risk for development of colorectal cancer (105 men and 159 women; mean age 62 years ± 5 SD), underwent 32 rows CT colonography. Patients were alternatively placed into 2 study groups: Group 1 (n = 132) followed TC and Group 2 (n = 132) LFT. TC protocol consisted of no fiber diet and Phospho-lax® 80 mL in 2 L of water the day before imaging. LFT protocol consisted of no fiber diet and ingestion with meals of 30 mL of water-soluble iodinated contrast agent (Gastrografin®) for 2 days before imaging. No frank laxative drugs were administered. All studies were reviewed in a combined fashion, primary 2D followed by 3D endoluminal and dissected views. After the examination all patients were asked to provide a feedback about tolerance to the each bowel preparation. The first 30 patients of each group were also investigated with optical colonoscopy (OC) used as gold standard to confirm our diagnosis (Group 1* and Group 2*). Conclusions: LFT reduces discomfort and seems to improve diagnostic accuracy of CTC.

KW - Bowel preparation

KW - CT colonography

KW - Diagnostic accuracy

KW - Discomfort

KW - Fecal tagging

KW - Traditional cathartic cleansing

UR - http://www.scopus.com/inward/record.url?scp=83155176340&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=83155176340&partnerID=8YFLogxK

U2 - 10.1007/s00261-010-9650-4

DO - 10.1007/s00261-010-9650-4

M3 - Article

VL - 36

SP - 532

EP - 537

JO - Abdominal Imaging

JF - Abdominal Imaging

SN - 0942-8925

IS - 5

ER -