Extracolonic findings of computed tomographic colonography in Koreans

被引：0

作者：

Sung Keun Park ^{[1
]}

Dong Il Park ^{[1
]}

Sun-Young Lee ^{[2
]}

Sang Kil Lee ^{[3
]}

Young-Ho Kim ^{[4
]}

Soon Jin Lee ^{[5
]}

Jeong-Sik Byeon ^{[6
]}

Kyu Chan Huh ^{[7
]}

Ki-Nam Shim ^{[8
]}

机构：

[1] Department of Medicine,Sungkyunkwan University School of Medicine,Kangbuk Samsung Hospital 108,Pyung-dong,Jongro-gu,Seoul 110-746,South Korea

[2] Department of Internal Medicine,Konkuk University School of Medicine,Seoul 110-746,South Korea

[3] Department of Internal Medicine,Yonsei University College of Medicine,Seoul 110-746,South Korea

[4] Departments of Medicine,Samsung Medical Center,Sungkyunkwan University School of Medicine,Seoul110-746,South Korea

[5] Departments of Radiology,Samsung Medical Center,Sungkyunkwan University School of Medicine,Seoul110-746,South Korea

[6] Department of Internal Medicine,Ulsan University College of Medicine,Asan Medical Center,Seoul110-746,South Korea

[7] Department of Internal Medicine,Konyang University School of Medicine,Daejon 302-718,South Korea

[8] Department of Internal Medicine,Ewha Womans University School of Medicine,Seoul 110-746,South Korea

来源：

World Journal of Gastroenterology | 2009年 / 15卷 / 12期

关键词：

Computed tomographic colonography; Extracolonic lesion; Cost; Contrast enhancement; Clinical availability;

D O I：

暂无

中图分类号：

R816.5 [腹部及消化系];

学科分类号：

1001 ; 100105 ; 100207 ; 100602 ;

摘要：

AIM:To determine the frequency and characteristics of extracolonic lesions detected using computed tomographic(CT)colonography.METHODS:The significance of extracolonic lesions was classified as high,intermediate,or low.Medical records were reviewed to establish whether further investigations were carried out pertaining to the extracolonic lesions that were detected by CT colonography.RESULTS:A total of 920 cases from 7 university hospitals were included,and 692 extracolonic findings were found in 532(57.8%)patients.Of 692 extracolonic findings,60 lesions(8.7%)were highly significant,250(36.1%)were of intermediate significance,and 382(55.2%)were of low significance.CT colonography revealed fewer extracolonic findings in subjects who were without symptoms(P<0.001),younger(P<0.001),or who underwent CT colonography with no contrast enhancement(P=0.005).CT colonography with contrast enhancement showed higher cost-effectiveness in detecting highly significant extracolonic lesions in older subjects and in subjects with symptoms.CONCLUSION:Most of the extracolonic findings detected using CT colonography were of less significant lesions.The role of CT colonography would be optimized if this procedure was performed with contrast enhancement in symptomatic older subjects.

引用

页码：1487 / 1492

页数：6