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Lara LF, Avalos D, Huynh H, et al. The safety of same-day CT colonography following incomplete colonoscopy with polypectomy. United European Gastroenterol J. 2015;3(4):358-63doi: 10.1177/2050640615577881.
Lara, L. F., Avalos, D., Huynh, H., Jimenez-Cantisano, B., Padron, M., Pimentel, R., Erim, T., Schneider, A., Ukleja, A., Parlade, A., & Castro, F. (2015). The safety of same-day CT colonography following incomplete colonoscopy with polypectomy. United European gastroenterology journal, 3(4), 358-63. https://doi.org/10.1177/2050640615577881
Lara, Luis F, et al. "The safety of same-day CT colonography following incomplete colonoscopy with polypectomy." United European gastroenterology journal vol. 3,4 (2015): 358-63. doi: https://doi.org/10.1177/2050640615577881
Lara LF, Avalos D, Huynh H, Jimenez-Cantisano B, Padron M, Pimentel R, Erim T, Schneider A, Ukleja A, Parlade A, Castro F. The safety of same-day CT colonography following incomplete colonoscopy with polypectomy. United European Gastroenterol J. 2015 Aug;3(4):358-63. doi: 10.1177/2050640615577881. PMID: 26279844; PMCID: PMC4528210.
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United European Gastroenterol J. 2015 Aug;3(4):358-63. doi: 10.1177/2050640615577881.

The safety of same-day CT colonography following incomplete colonoscopy with polypectomy.

United European gastroenterology journal

Luis F Lara, Danny Avalos, Huan Huynh, Brenda Jimenez-Cantisano, Mariann Padron, Ronnie Pimentel, Tolga Erim, Alison Schneider, Andrew Ukleja, Albert Parlade, Fernando Castro

Affiliations

  1. Cleveland Clinic Florida, USA.

PMID: 26279844 PMCID: PMC4528210 DOI: 10.1177/2050640615577881

Abstract

BACKGROUND: Concerns about the risk of bowel perforation for same-day computed tomography colonography (CTC) following an incomplete colonoscopy with polypectomy may lead to unnecessarily postponing the CTC.

OBJECTIVE: The objective of this article is to describe the complications including colon perforations associated with same-day CTC in a cohort who had polypectomies but an incomplete colonoscopy.

DESIGN: We conducted a retrospective study.

SETTING: Our study took place in a single, tertiary referral center.

PATIENTS: We studied consecutive patients who had CTC the same day as an incomplete colonoscopy with polypectomy.

INTERVENTIONS: Interventions included optical colonoscopy (OC), endoscopic polypectomies, and same-day CTC.

MAIN OUTCOME MEASUREMENTS: Our main outcome measurements included perforation rate with long-term follow-up.

RESULTS: A total of 3% of patients undergoing colonoscopy from January 2008 to December 2012 had same-day CTC following incomplete OC, and 72 polypectomies were performed in 34 (or 17%) of these patients. Incomplete colonoscopies were due to colon tortuosity and looping (25), severe angulations (five), colon mass (two), colon stenosis (one), bradycardia (one). Fifty-three percent of the OCs were screening for colon neoplasia, 29% diagnostic and 18% were surveillance of colon polyps. Most polyps were ≤ 5 mm, and found in the left colon. There were no reported complications or perforations associated with same-day CTCs during short- and long-term follow-up.

LIMITATIONS: Limitations of our analysis included retrospective single-center design, small number of patients for the occurrence, referral to same-day CTC was not standardized, inability to establish safety of CTC for specific scenarios such as after complex polypectomies, strictures, or advanced IBD.

CONCLUSIONS: Radiologists' apprehension to perform a CTC the same day as an incomplete colonoscopy following polypectomies because of perceived risk of perforation may be unfounded. More data are needed to determine the safety of same-day CTC in patients with high-risk findings during colonoscopy such as a stricture, severe IBD, and after complex polypectomies.

Keywords: Medical subject headings (MeSH): colonography; colonic polyps; colonoscopy; computed tomographic; digestive system; endoscopy

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