Virtual Colonoscopy: Details
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Contraindications ✓ Virtual ✓ Patient ✓ Colon ✓ Colonoscopy ✓ Inpatient Summary:
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- After a one-day bowel cleansing prep applying a twenty-four hour clean liquid diet and magnesium citrate plus bisacodyl the evening before, the colon is slowly and gently filled with carbon dioxide (one of the components of air) by way of an enema tip.
- A specific colonoscopy computer program achieves 2D and 3D pictures of the inside of the colon, which our Board Certified Radiologist reviews and the findings are relayed to the inpatient and doctor within twenty-four hours.
- The CT scan copy are then varied by a specific computer viewer and the axial images and 3d surface (Virtual) restoring is prepared for the radiologist to interpret.
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How does Virtual CT Colonoscopy work? Virtual (CT) Colonoscopy is the last technological advance in CT scanning and lets excellent images of the colon without the risks and inconvenience of anesthesia. ? After a one-day bowel cleansing prep applying a twenty-four hour clean liquid diet and magnesium citrate plus bisacodyl the evening before, the colon is slowly and gently filled with carbon dioxide (one of the components of air) by way of an enema tip. ? About seventy copy are attained in one or two breath holds while the inpatient is supine, and the scan is repeated with the patient turned over to the prone position. ? The total procedure time is less than 30 minutes and the patient can return to usual activity. A specific colonoscopy computer program achieves 2D and 3D pictures of the inside of the colon, which our Board Certified Radiologist reviews and the findings are relayed to the inpatient and doctor within twenty-four hours. ? In some occurrence the Virtual Colonoscopy fing demonstrate parts of the colon that the traditional colonoscopy cannot reach.? The possible findings on colonoscopy are polyps, diverticula and tumors. The leverage of Virtual CT colonoscopy over traditional colonoscopy are as follows: No anesthesia, sedation or pain medication is required. There is high patient acceptance and compliance for the procedure. Patient can return to normal activities immediately afterward. There are Virtually no complications. The test is almost as sensitive as conventional colonoscopy, and it allows visualization of the junction between the small intestine and the large intestine (right colon), an area that is not completely visualized 10 to 15% of cases with conventional colonoscopy. A CT scan of all the other organs of the abdomen and pelvis is included. The complete finance price is substantial less than the charges for conventional colonoscopy. ? In Kentucky all commercial insurance companies are required to reimburse for Screening Virtual Colonoscopy. There are many patients who refuse conventional colonoscopy who will have a Virtual CT colonoscopy. Virtual colonoscopy is an excellent option for patients who cannot be taken off anticoagulants for conventional colonoscopy. The disadvantages of Virtual CT colonoscopy over conventional colonoscopy are as follows:The ability to differentiate stool from artifact and polyp may not be as good. If a biopsy is needed, conventional colonoscopy will still be required. There is exposure to significant radiation. CT of the abdominal and pelvic organs may reveal benign findings that require additional testing and costs. Virtual CT colonoscopy is performed at Lexington Diagnostic Center in the following manner:The patient is asked to be on a clear liquid diet for 24 hours. A colon bowel cleansing prep is taken the evening before, (a magnesium citrate and biscolyl prep with the recommended phonetic fluids.) The inpatient is concluded on their back on the CT table, a little rectal tube is inserted and the colon is filled with CO2 gas. ? This causes a feeling of fullness and usually only mild discomfort, although occasionally there is moderate cramping. During one air hold, calculating fifteen to twenty seconds, a fast CT scan is obtained through the abdomen and pelvis, covering the whole colon.? The patient is then asked to turn to the prone position (on the stomach) and the procedure is repeated. The inpatient is then repaid to exchange to normal activities. ? ? The steam is eject and/or absorbed. ? The total time in our office should be 1 hour or less. The CT scan copy are then varied by a specific computer viewer and the axial images and 3d surface (Virtual) restoring is prepared for the radiologist to interpret. ? A report is ready in about 24 hours. Contraindications to Virtual CT colonoscopy involves a history of the following: Total hip replacement (metal in hips causes CT scan artifact). effective Crohn? s disease, ulcerative colitis, inflammatory bowel disease or diverticulitis (increased risk of perforation). History of previous bowel perforation. Severe pain or cramps on day of examination. Special dietary considerations may be needed for diabetics. Alternate low sodium bowel prep is recommended for cardiac and renal patients on low sodium diets. What are the indications for Virtual CT colonoscopy? The suspicion are the common as for traditional screening colonoscopy, which are:
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