Cargando…

High Concordance of CT Colonography and Colonoscopy Allows for the Distinguishing and Diagnosing of Intestinal Diseases

(1) Although new imaging methods for examining the GIT with high diagnostic capabilities were introduced, the improvement and implementation of safe, efficient, and cost-effective approaches continue, and GIT diseases are still challenging to diagnose; (2) Methods: We aim to show the possibilities o...

Descripción completa

Detalles Bibliográficos
Autores principales: Chervenkov, Lyubomir, Sirakov, Nikolay, Georgiev, Aleksander, Miteva, Dimitrina, Gulinac, Milena, Peshevska-Sekulovska, Monika, Sekulovski, Metodija, Velikova, Tsvetelina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10532908/
https://www.ncbi.nlm.nih.gov/pubmed/37763309
http://dx.doi.org/10.3390/life13091906
_version_ 1785112072144551936
author Chervenkov, Lyubomir
Sirakov, Nikolay
Georgiev, Aleksander
Miteva, Dimitrina
Gulinac, Milena
Peshevska-Sekulovska, Monika
Sekulovski, Metodija
Velikova, Tsvetelina
author_facet Chervenkov, Lyubomir
Sirakov, Nikolay
Georgiev, Aleksander
Miteva, Dimitrina
Gulinac, Milena
Peshevska-Sekulovska, Monika
Sekulovski, Metodija
Velikova, Tsvetelina
author_sort Chervenkov, Lyubomir
collection PubMed
description (1) Although new imaging methods for examining the GIT with high diagnostic capabilities were introduced, the improvement and implementation of safe, efficient, and cost-effective approaches continue, and GIT diseases are still challenging to diagnose; (2) Methods: We aim to show the possibilities of computed tomography (CT) colonography for early diagnosis of colon diseases using a multidetector 32-channel CT scanner after appropriate preparation; (3) Results: After a colonoscopy was performed earlier, 140 patients were examined with CT colonography. Complete colonoscopy was performed in 80 patients (57.1%) out of 140 who underwent CT colonography. Incomplete colonoscopy was observed in 52 patients (37.2%); in 5 patients (3.6%), it was contraindicated, and in 3 patients (2.1%), it was not performed because of patients’ refusal. We determined that in cases of complete FCS in 95% of patients, CT colonography established the same clinical diagnosis as FCS. In cases of incomplete, refused, or contraindicated FCS in 32.7% (17 patients), FCS failed to diagnose correctly. The main reasons for incomplete colonoscopy were: intraluminal obturation of tumor nature-17 patients (33%), extraluminal obturation (compression) from a tumor formation-4 patients (8%), stenotic changes of non-tumor nature-11 patients (21%), congenital diseases with changes in the length of the lumen of the intestinal loops-7 patients (13%), and subjective factors (pain, poor preparation, contraindications) in 13 patients (25%); (4) Conclusions: Our results confirmed that CT colonography is a method of choice in cases of negative FCS results accompanied by clinical data for the neoplastic process and in cases of incomplete and contraindicated FCS. Also, the insufflation system we developed optimizes the method by improving the quality of the obtained images and ensuring good patient tolerance.
format Online
Article
Text
id pubmed-10532908
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-105329082023-09-28 High Concordance of CT Colonography and Colonoscopy Allows for the Distinguishing and Diagnosing of Intestinal Diseases Chervenkov, Lyubomir Sirakov, Nikolay Georgiev, Aleksander Miteva, Dimitrina Gulinac, Milena Peshevska-Sekulovska, Monika Sekulovski, Metodija Velikova, Tsvetelina Life (Basel) Article (1) Although new imaging methods for examining the GIT with high diagnostic capabilities were introduced, the improvement and implementation of safe, efficient, and cost-effective approaches continue, and GIT diseases are still challenging to diagnose; (2) Methods: We aim to show the possibilities of computed tomography (CT) colonography for early diagnosis of colon diseases using a multidetector 32-channel CT scanner after appropriate preparation; (3) Results: After a colonoscopy was performed earlier, 140 patients were examined with CT colonography. Complete colonoscopy was performed in 80 patients (57.1%) out of 140 who underwent CT colonography. Incomplete colonoscopy was observed in 52 patients (37.2%); in 5 patients (3.6%), it was contraindicated, and in 3 patients (2.1%), it was not performed because of patients’ refusal. We determined that in cases of complete FCS in 95% of patients, CT colonography established the same clinical diagnosis as FCS. In cases of incomplete, refused, or contraindicated FCS in 32.7% (17 patients), FCS failed to diagnose correctly. The main reasons for incomplete colonoscopy were: intraluminal obturation of tumor nature-17 patients (33%), extraluminal obturation (compression) from a tumor formation-4 patients (8%), stenotic changes of non-tumor nature-11 patients (21%), congenital diseases with changes in the length of the lumen of the intestinal loops-7 patients (13%), and subjective factors (pain, poor preparation, contraindications) in 13 patients (25%); (4) Conclusions: Our results confirmed that CT colonography is a method of choice in cases of negative FCS results accompanied by clinical data for the neoplastic process and in cases of incomplete and contraindicated FCS. Also, the insufflation system we developed optimizes the method by improving the quality of the obtained images and ensuring good patient tolerance. MDPI 2023-09-13 /pmc/articles/PMC10532908/ /pubmed/37763309 http://dx.doi.org/10.3390/life13091906 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chervenkov, Lyubomir
Sirakov, Nikolay
Georgiev, Aleksander
Miteva, Dimitrina
Gulinac, Milena
Peshevska-Sekulovska, Monika
Sekulovski, Metodija
Velikova, Tsvetelina
High Concordance of CT Colonography and Colonoscopy Allows for the Distinguishing and Diagnosing of Intestinal Diseases
title High Concordance of CT Colonography and Colonoscopy Allows for the Distinguishing and Diagnosing of Intestinal Diseases
title_full High Concordance of CT Colonography and Colonoscopy Allows for the Distinguishing and Diagnosing of Intestinal Diseases
title_fullStr High Concordance of CT Colonography and Colonoscopy Allows for the Distinguishing and Diagnosing of Intestinal Diseases
title_full_unstemmed High Concordance of CT Colonography and Colonoscopy Allows for the Distinguishing and Diagnosing of Intestinal Diseases
title_short High Concordance of CT Colonography and Colonoscopy Allows for the Distinguishing and Diagnosing of Intestinal Diseases
title_sort high concordance of ct colonography and colonoscopy allows for the distinguishing and diagnosing of intestinal diseases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10532908/
https://www.ncbi.nlm.nih.gov/pubmed/37763309
http://dx.doi.org/10.3390/life13091906
work_keys_str_mv AT chervenkovlyubomir highconcordanceofctcolonographyandcolonoscopyallowsforthedistinguishinganddiagnosingofintestinaldiseases
AT sirakovnikolay highconcordanceofctcolonographyandcolonoscopyallowsforthedistinguishinganddiagnosingofintestinaldiseases
AT georgievaleksander highconcordanceofctcolonographyandcolonoscopyallowsforthedistinguishinganddiagnosingofintestinaldiseases
AT mitevadimitrina highconcordanceofctcolonographyandcolonoscopyallowsforthedistinguishinganddiagnosingofintestinaldiseases
AT gulinacmilena highconcordanceofctcolonographyandcolonoscopyallowsforthedistinguishinganddiagnosingofintestinaldiseases
AT peshevskasekulovskamonika highconcordanceofctcolonographyandcolonoscopyallowsforthedistinguishinganddiagnosingofintestinaldiseases
AT sekulovskimetodija highconcordanceofctcolonographyandcolonoscopyallowsforthedistinguishinganddiagnosingofintestinaldiseases
AT velikovatsvetelina highconcordanceofctcolonographyandcolonoscopyallowsforthedistinguishinganddiagnosingofintestinaldiseases