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Comparison of a 4-Day versus 2-Day Low Fiber Diet Regimen in Barium Tagging CT Colonography in Incomplete Colonoscopy Patients.

Meric K, Bakal N, Şenateş E, Aydın S, Kılıçoğlu ZG, Bahadır Ülger FE, Yencilek E, Erkalma Şenateş B, Şimşek M - Gastroenterol Res Pract (2015)

Bottom Line: We graded the residual fluid, tagging quality for solid stool, and fluid per bowel segment.The prevalence of moderate discomfort was significantly higher in 4-day group (P < 0.001).Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Haydarpasa Numune Training and Research Hospital, 34668 Istanbul, Turkey.

ABSTRACT
Our aim was to compare the amount of residual feces, residual fluid, the tagging quality, and patient compliance using 4-day versus 2-day low fiber diet regimen in barium tagging CT colonography in incomplete colonoscopy patients. Methods. A total of 101 patients who underwent CT colonography were assigned to 2-day diet group (n = 56) and 4-day diet group (n = 45). Fecal tagging was achieved with barium sulphate while bisacodyl and sennoside B were used for bowel preparation. Residual solid stool was divided into two groups measuring <6 mm and ≥6 mm. We graded the residual fluid, tagging quality for solid stool, and fluid per bowel segment. We performed a questionnaire to assess patient compliance. Results. 604 bowel segments were evaluated. There was no significant difference between 2-day and 4-day diet groups with respect to residual solid stool, residual fluid, tagging quality for stool, and fluid observed in fecal tag CT colonography (P > 0.05). The prevalence of moderate discomfort was significantly higher in 4-day group (P < 0.001). Conclusion. Our study shows that 2-day limited bowel preparation regimen for fecal tag CT colonography is a safe and reasonable technique to evaluate the entire colon, particularly in incomplete conventional colonoscopy patients.

No MeSH data available.


A 58-year-old man who applied 2-day dietary regimen. CT image in prone position shows tagged fluid (thin arrow) covering less than 25% of colonic lumen assigned to score 1 and 25–50% (thick arrow) assigned to score 2 for residual fluid in ascending colon. Some tagged feces (thin curved arrow) assigned to tag score 5 for residual solid stool, seen in sigmoid colon.
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fig1: A 58-year-old man who applied 2-day dietary regimen. CT image in prone position shows tagged fluid (thin arrow) covering less than 25% of colonic lumen assigned to score 1 and 25–50% (thick arrow) assigned to score 2 for residual fluid in ascending colon. Some tagged feces (thin curved arrow) assigned to tag score 5 for residual solid stool, seen in sigmoid colon.

Mentions: Tagging percentage of residual solid stool in colonic segments is presented in Table 4. Overall, the tagging quality in this study was good. In 4-day diet group, the percentage of tagging residual solid stool assigned scores of 1 (nontagged) and 5 (100% tagged) were 8.3% and 73.8%, respectively. In 2-day diet group the percentage of tagging residual solid stool assigned a score of 1 was 6.4% and score 5 was 68.3%. The tagging percentage of residual solid stool in colonic segments between 4-day and 2-day diet groups (P > 0.05) was not statistically significant (Table 4). The fecal tagging efficacy for ≥6 mm residual stool balls was 91.5% (Figures 1 and 2).


Comparison of a 4-Day versus 2-Day Low Fiber Diet Regimen in Barium Tagging CT Colonography in Incomplete Colonoscopy Patients.

Meric K, Bakal N, Şenateş E, Aydın S, Kılıçoğlu ZG, Bahadır Ülger FE, Yencilek E, Erkalma Şenateş B, Şimşek M - Gastroenterol Res Pract (2015)

A 58-year-old man who applied 2-day dietary regimen. CT image in prone position shows tagged fluid (thin arrow) covering less than 25% of colonic lumen assigned to score 1 and 25–50% (thick arrow) assigned to score 2 for residual fluid in ascending colon. Some tagged feces (thin curved arrow) assigned to tag score 5 for residual solid stool, seen in sigmoid colon.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4385636&req=5

fig1: A 58-year-old man who applied 2-day dietary regimen. CT image in prone position shows tagged fluid (thin arrow) covering less than 25% of colonic lumen assigned to score 1 and 25–50% (thick arrow) assigned to score 2 for residual fluid in ascending colon. Some tagged feces (thin curved arrow) assigned to tag score 5 for residual solid stool, seen in sigmoid colon.
Mentions: Tagging percentage of residual solid stool in colonic segments is presented in Table 4. Overall, the tagging quality in this study was good. In 4-day diet group, the percentage of tagging residual solid stool assigned scores of 1 (nontagged) and 5 (100% tagged) were 8.3% and 73.8%, respectively. In 2-day diet group the percentage of tagging residual solid stool assigned a score of 1 was 6.4% and score 5 was 68.3%. The tagging percentage of residual solid stool in colonic segments between 4-day and 2-day diet groups (P > 0.05) was not statistically significant (Table 4). The fecal tagging efficacy for ≥6 mm residual stool balls was 91.5% (Figures 1 and 2).

Bottom Line: We graded the residual fluid, tagging quality for solid stool, and fluid per bowel segment.The prevalence of moderate discomfort was significantly higher in 4-day group (P < 0.001).Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Haydarpasa Numune Training and Research Hospital, 34668 Istanbul, Turkey.

ABSTRACT
Our aim was to compare the amount of residual feces, residual fluid, the tagging quality, and patient compliance using 4-day versus 2-day low fiber diet regimen in barium tagging CT colonography in incomplete colonoscopy patients. Methods. A total of 101 patients who underwent CT colonography were assigned to 2-day diet group (n = 56) and 4-day diet group (n = 45). Fecal tagging was achieved with barium sulphate while bisacodyl and sennoside B were used for bowel preparation. Residual solid stool was divided into two groups measuring <6 mm and ≥6 mm. We graded the residual fluid, tagging quality for solid stool, and fluid per bowel segment. We performed a questionnaire to assess patient compliance. Results. 604 bowel segments were evaluated. There was no significant difference between 2-day and 4-day diet groups with respect to residual solid stool, residual fluid, tagging quality for stool, and fluid observed in fecal tag CT colonography (P > 0.05). The prevalence of moderate discomfort was significantly higher in 4-day group (P < 0.001). Conclusion. Our study shows that 2-day limited bowel preparation regimen for fecal tag CT colonography is a safe and reasonable technique to evaluate the entire colon, particularly in incomplete conventional colonoscopy patients.

No MeSH data available.