HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Yucel, C. Articles by Durrani, H. Search for Related Content PubMed PubMed Citation Articles by Yucel, C. Articles by Durrani, H. Social Bookmarking                      What's this? Hotlight (NEW!) What's Hotlight?

CT Colonography for Incomplete or Contraindicated Optical Colonoscopy in Older Patients

¹ All authors: Department of Radiology, Thomas Jefferson University Hospital, 132 S 10th St., Main Bldg., Ste. 763L, Philadelphia, PA 19107.

View larger version (60K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A —79-year-old man receiving anticoagulation for atrial fibrillation with history of colonic polyps detected 10 years earlier. Patient had advanced diverticular disease of descending and sigmoid colon. In addition to supine and prone imaging, imaging was also performed with patient in right lateral decubitus position to maximize distension of left colon. Two polyps were identified only on right lateral decubitus imaging. View of gas-filled colon obtained with patient in supine position shows suboptimal distension of proximal transverse colon (arrow). A and B refer to software display.

View larger version (66K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B —79-year-old man receiving anticoagulation for atrial fibrillation with history of colonic polyps detected 10 years earlier. Patient had advanced diverticular disease of descending and sigmoid colon. In addition to supine and prone imaging, imaging was also performed with patient in right lateral decubitus position to maximize distension of left colon. Two polyps were identified only on right lateral decubitus imaging. View of gas-filled colon with patient in right lateral decubitus position shows optimal distension of transverse colon. Two polyps (arrows) are visible in this view.

View larger version (141K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1C —79-year-old man receiving anticoagulation for atrial fibrillation with history of colonic polyps detected 10 years earlier. Patient had advanced diverticular disease of descending and sigmoid colon. In addition to supine and prone imaging, imaging was also performed with patient in right lateral decubitus position to maximize distension of left colon. Two polyps were identified only on right lateral decubitus imaging. Two-dimensional coronal image shows both polyps in proximal transverse colon.

View larger version (124K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1D —79-year-old man receiving anticoagulation for atrial fibrillation with history of colonic polyps detected 10 years earlier. Patient had advanced diverticular disease of descending and sigmoid colon. In addition to supine and prone imaging, imaging was also performed with patient in right lateral decubitus position to maximize distension of left colon. Two polyps were identified only on right lateral decubitus imaging. Three-dimensional endoluminal view shows both polyps and adjacent diverticulum.

View larger version (104K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2 —60-year-old man with prior incomplete optical colonoscopy. View of gas-filled colon obtained with patient in right lateral decubitus position shows long and tortuous centerline. Marked colonic redundancy is seen.

View larger version (68K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3A —CT colonography performed in 75-year-old man with history of right hemicolectomy for colon carcinoma. He had unstable angina and was being treated with warfarin sodium (Coumadin, Bristol-Myers Squibb) for atrial flutter. Optical colonoscopy with sedation was thought to be contraindicated. View of gas-filled colon obtained with patient in supine position shows foreshortened right colon and side-to-side ileocolonic anastomosis (between arrows).

View larger version (124K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3B —CT colonography performed in 75-year-old man with history of right hemicolectomy for colon carcinoma. He had unstable angina and was being treated with warfarin sodium (Coumadin, Bristol-Myers Squibb) for atrial flutter. Optical colonoscopy with sedation was thought to be contraindicated. Endoluminal view of anastomotic region from vantage point of lateral aspect of anastomosis (top arrow in A). Staple line (arrows) is seen, as are openings into colonic and ileal limbs.

View larger version (127K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3C —CT colonography performed in 75-year-old man with history of right hemicolectomy for colon carcinoma. He had unstable angina and was being treated with warfarin sodium (Coumadin, Bristol-Myers Squibb) for atrial flutter. Optical colonoscopy with sedation was thought to be contraindicated. Endoluminal view of anastomosis (black arrows) from colon. Diminutive polyp (white arrow) is incidentally noted but not reported.

CiteULike

Complore

Connotea

Del.icio.us

Digg

Reddit

Technorati