USEFULNESS OF CT COLONOGRAPHY IN PATIENTS WITH OCCLUSIVE COLORECTAL CANCER BEFORE METALLIC STENT PLACEMENT: A SINGLE ENTER EXPERIENCE

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Abstract

Up to 15% of patients with colorectal cancer (CRC) present with large bowel obstruction. Currently, computed tomography colonography (CTC) is regarded as a promising technique for complete evaluation of the proximal colon and simultaneous assessment of extraluminal status. Aim of this retrospective, observational study is to evaluate the feasibility of using CTC for preoperative examination of the proximal colon before metallic stgent placement in patients with colon obstruction caused by CRC. Sixteen patients who demonstrated colonic obstruction caused by CRC, underwent CTC immediately after incomplete colonoscopy. Per-patient sensitivity of CTC for lesion 5 mm larger in diameter in the colon proximal to the stent was 100% (95% CI: 0,4385-1). Per-patients specificity for lesions 5 mm and larger in the proximal colon was 92,3% (95% CI: 6669-0,9863). CTC did not generate any false diagnosis of synchronous cancer. false positive findings at CTC did not result in a change in surgical plan for asny patients. Although the small number of patient of our study, our data show that CTC is a safe and useful method for preoperative examination of the proximal colon before metallic stent placement in patients with acute colon obstruction caused by CRC.
Lingua originaleEnglish
pagine (da-a)1-5
Numero di pagine5
RivistaLIFE SAFETY AND SECURITY
Volume3
Stato di pubblicazionePublished - 2015

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Computed Tomographic Colonography
Stents
Colorectal Neoplasms
Colon
Tomography
Colonoscopy
Observational Studies
Retrospective Studies

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title = "USEFULNESS OF CT COLONOGRAPHY IN PATIENTS WITH OCCLUSIVE COLORECTAL CANCER BEFORE METALLIC STENT PLACEMENT: A SINGLE ENTER EXPERIENCE",
abstract = "Up to 15{\%} of patients with colorectal cancer (CRC) present with large bowel obstruction. Currently, computed tomography colonography (CTC) is regarded as a promising technique for complete evaluation of the proximal colon and simultaneous assessment of extraluminal status. Aim of this retrospective, observational study is to evaluate the feasibility of using CTC for preoperative examination of the proximal colon before metallic stgent placement in patients with colon obstruction caused by CRC. Sixteen patients who demonstrated colonic obstruction caused by CRC, underwent CTC immediately after incomplete colonoscopy. Per-patient sensitivity of CTC for lesion 5 mm larger in diameter in the colon proximal to the stent was 100{\%} (95{\%} CI: 0,4385-1). Per-patients specificity for lesions 5 mm and larger in the proximal colon was 92,3{\%} (95{\%} CI: 6669-0,9863). CTC did not generate any false diagnosis of synchronous cancer. false positive findings at CTC did not result in a change in surgical plan for asny patients. Although the small number of patient of our study, our data show that CTC is a safe and useful method for preoperative examination of the proximal colon before metallic stent placement in patients with acute colon obstruction caused by CRC.",
author = "{Lo Monte}, {Attilio Ignazio} and Emanuele Sinagra and Giovanni Tomasello",
year = "2015",
language = "English",
volume = "3",
pages = "1--5",
journal = "LIFE SAFETY AND SECURITY",
issn = "2283-7604",

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TY - JOUR

T1 - USEFULNESS OF CT COLONOGRAPHY IN PATIENTS WITH OCCLUSIVE COLORECTAL CANCER BEFORE METALLIC STENT PLACEMENT: A SINGLE ENTER EXPERIENCE

AU - Lo Monte, Attilio Ignazio

AU - Sinagra, Emanuele

AU - Tomasello, Giovanni

PY - 2015

Y1 - 2015

N2 - Up to 15% of patients with colorectal cancer (CRC) present with large bowel obstruction. Currently, computed tomography colonography (CTC) is regarded as a promising technique for complete evaluation of the proximal colon and simultaneous assessment of extraluminal status. Aim of this retrospective, observational study is to evaluate the feasibility of using CTC for preoperative examination of the proximal colon before metallic stgent placement in patients with colon obstruction caused by CRC. Sixteen patients who demonstrated colonic obstruction caused by CRC, underwent CTC immediately after incomplete colonoscopy. Per-patient sensitivity of CTC for lesion 5 mm larger in diameter in the colon proximal to the stent was 100% (95% CI: 0,4385-1). Per-patients specificity for lesions 5 mm and larger in the proximal colon was 92,3% (95% CI: 6669-0,9863). CTC did not generate any false diagnosis of synchronous cancer. false positive findings at CTC did not result in a change in surgical plan for asny patients. Although the small number of patient of our study, our data show that CTC is a safe and useful method for preoperative examination of the proximal colon before metallic stent placement in patients with acute colon obstruction caused by CRC.

AB - Up to 15% of patients with colorectal cancer (CRC) present with large bowel obstruction. Currently, computed tomography colonography (CTC) is regarded as a promising technique for complete evaluation of the proximal colon and simultaneous assessment of extraluminal status. Aim of this retrospective, observational study is to evaluate the feasibility of using CTC for preoperative examination of the proximal colon before metallic stgent placement in patients with colon obstruction caused by CRC. Sixteen patients who demonstrated colonic obstruction caused by CRC, underwent CTC immediately after incomplete colonoscopy. Per-patient sensitivity of CTC for lesion 5 mm larger in diameter in the colon proximal to the stent was 100% (95% CI: 0,4385-1). Per-patients specificity for lesions 5 mm and larger in the proximal colon was 92,3% (95% CI: 6669-0,9863). CTC did not generate any false diagnosis of synchronous cancer. false positive findings at CTC did not result in a change in surgical plan for asny patients. Although the small number of patient of our study, our data show that CTC is a safe and useful method for preoperative examination of the proximal colon before metallic stent placement in patients with acute colon obstruction caused by CRC.

UR - http://hdl.handle.net/10447/127490

M3 - Article

VL - 3

SP - 1

EP - 5

JO - LIFE SAFETY AND SECURITY

JF - LIFE SAFETY AND SECURITY

SN - 2283-7604

ER -