http://www.cnr.it/ontology/cnr/individuo/prodotto/ID13583
Added value of CT colonography after a positive conventional colonoscopy: impact on tratment strategy (Articolo in rivista)
- Type
- Label
- Added value of CT colonography after a positive conventional colonoscopy: impact on tratment strategy (Articolo in rivista) (literal)
- Anno
- 2005-01-01T00:00:00+01:00 (literal)
- Alternative label
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#autori
- Mainenti PP; ROmano M; Imbriaco M; Camera L; Pace L; D'Antonio D; Bucci L; Galloro G; Salvatore M; (literal)
- Pagina inizio
- Pagina fine
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#numeroVolume
- Rivista
- Note
- PubMed (literal)
- ISI Web of Science (WOS) (literal)
- Google Scholar (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
- IBB CNR, Naples, Italy
Department of Biomorphological and Functional Sciences, University Federico II, Naples, Italy
Department of Surgery and Endoscopy, University Federico II, Naples, Italy (literal)
- Titolo
- Added value of CT colonography after a positive conventional colonoscopy: impact on tratment strategy (literal)
- Abstract
- Background: Conventional colonoscopy (CC) requires an
experienced operator to avoid technical or interpretative
errors, and an endoscopic error rate of 14% for tumor
localization has been reported. We evaluated the impact
of computed tomographic colonography (CTC) on surgical
treatment strategy in patients with CC reported as
having colorectal neoplasm.
Methods: Fifty-three patients testing positive for colorectal
neoplasm on CC underwent CTC: 32 patients had
CC in our hospital (group A) and 21 had CC in area
hospitals (group B). All CTC procedures were performed
with a multidetector CT system. The results of CTC and
CC were compared with that of surgery. The preoperative
surgical planning evaluated on the basis of CC and
CTC was compared with the actual surgical approach,
and the percentage of patients in whom CTC modified
the treatment strategy suggested by CC was calculated.
Results: CTC changed the treatment strategy in four of
53 patients (7.5%) in whom CC showed technical or
interpretative errors. Group analysis showed that CTC
did not influence the surgical management in any patient
in group A but did affect treatment strategy in four of 21
patients (19%) in group B. The effect of CTC on treatment
strategy between groups was statistically significant
(p<0.05). CTC identified five adenomas and three adenocarcinomas
localized proximally to an impassable
stenosis.
Conclusion: CTC can be used to reevaluate the findings
of a positive CC and can indicate a more correct therapeutic
approach in patients with colorectal neoplasms
who are candidates for surgery (literal)
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