DOCSLIB.ORG

Rectal Water Contrast Transvaginal Ultrasound Versus Double-Contrast Barium Enema in the Diagnosis of Bowel Endometriosis

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Rectal Water Contrast Transvaginal Ultrasound Versus Double-Contrast Barium Enema in the Diagnosis of Bowel Endometriosis Open Access Research BMJ Open: first published as 10.1136/bmjopen-2017-017216 on 7 September 2017. Downloaded from Rectal water contrast transvaginal ultrasound versus double-contrast barium enema in the diagnosis of bowel endometriosis Jipeng Jiang, Ying Liu, Kun Wang, Xixiang Wu, Ying Tang To cite: Jiang J, Liu Y, Wang K, ABSTRACT Strengths and limitations of this study et al. Rectal water contrast Objectives The aim of study was to compare the transvaginal ultrasound versus accuracy between rectal water contrast transvaginal ► This is the first comparison of the accuracy between double-contrast barium enema ultrasound (RWC-TVS) and double-contrast barium enema in the diagnosis of bowel rectal water contrast transvaginal ultrasound (RWC- (DCBE) in evaluating the bowel endometriosis presence as endometriosis. BMJ Open TVS) and double-contrast barium enema (DCBE) in well as its extent. 2017;7:e017216. doi:10.1136/ the diagnosis of bowel endometriosis. Design and setting 198 patients at reproductive age with bmjopen-2017-017216 ► This study demonstrated RWC-TVS as a very reliable suspicious bowel endometriosis were included. Physicians technique to determine the bowel endometriosis ► Prepublication history for in two groups specialised at endometriosis performed presence and extent and it has similar accuracy to this paper is available online. RWC-TVS as well as DCBE before laparoscopy and both To view these files please visit that of DCBE. groups were blinded to other groups’ results. Findings the journal online (http:// dx. doi. ► We demonstrate that DCBE is related to more from RWC-TVS or DCBE were compared with histological org/ 10. 1136/ bmjopen- 2017- tolerance than RWC-TVS. results. The severity of experienced pain severity through 017216). ► This study requires a larger sample once suitable RWC-TVS or DCBE was assessed by an analogue scale of participants become available. Received 7 April 2017 10 cm. Revised 26 May 2017 Results In total, 110 in 198 women were confirmed to Accepted 12 June 2017 have endometriosis nodules in the bowel by laparoscopy as well as histopathology. For bowel endometriosis suggest rectovaginal endometriosis presence. diagnosis, DCBE and RWC-TVS demonstrated sensitivities However, the accuracy is poor in identifying of 96.4% and 88.2%, specificities of 100% and 97.3%, 5 6 rectosigmoid nodules. http://bmjopen.bmj.com/ positive prediction values of 100% and 98.0%, negative Until recently, endometriosis diagnosis prediction values of 98.0% and 88.0%, accuracies of ultrasound was limited to patients with ovarian 98.0% and 92.4%, respectively. DCBE was related to more tolerance than RWC-TVS. endometriosis. Other imaging methods were Conclusions RWC-TVS and DCBE demonstrated similar used for assessing bowel endometriosis, such accuracies in the bowel endometriosis diagnosis; however, as rectal endoscopic ultrasound, double-con- patients showed more tolerance for RWC-TVS than those trast barium enema (DCBE), transvaginal with DCBE. ultrasound (TVS), MRI, virtual colonoscopy 7–10 and multidetector CT enema (MDCT-e). on September 23, 2021 by guest. Protected copyright. TVS, as a reliable and non-invasive method INTRODUCTION for assessing bowel endometriosis presence Bowel endometriosis influences 4%–37% and extent.11 Rectosigmoid nodules identifi- patients of endometriosis.1 Lesions in intes- cation may be facilitated by saline injection tinal endometriosis have variable sizes.2 through a catheter going into the rectum Endometriosis nodules of small sizes locate through rectal water contrast TVS (RWC- in the bowel serosal surface hardly causing TVS), assessment of infiltration depth of symptoms and treatments are not required.2 endometriosis on intestinal wall as well as Endometriosis nodules of larger sizes may estimation of stenosis degree in the bowel infiltrate the wall of bowel and cause some lumen. Yet, no studies have compared the gastrointestinal complaints such as diarrhoea, accurateness between DCBE and RWC-TVS 4 12 13 Department of Ultrasound, dyschezia, constipation, intestinal cramping in rectosigmoid endometriosis diagnosis. Tianjin First Center Hospital, and abdominal bloating.1 3 The symptoms The diagnosis of bowel endometriosis Tianjin, China mimic acute bowel syndrome. The symp- presence and extent before the surgery is Correspondence to toms with bowel endometriosis mainly are necessary for making a decision on whether Dr Ying Tang; non-specific, usually causing misdiagnosis or the operation is required as well as planning dr_ tangying@ sina. com diagnosis delay.4 Physical examinations may the operation procedure with colorectal Jiang J, et al. BMJ Open 2017;7:e017216. doi:10.1136/bmjopen-2017-017216 1 Open Access BMJ Open: first published as 10.1136/bmjopen-2017-017216 on 7 September 2017. Downloaded from surgeons.14 Preoperational knowledge of intestinal endo- others. They were also blinded to clinical data and only metriosis nodules size, number, nodule infiltration depth knew that the intestinal endometriosis presence was on the wall of intestine, as well as bowel lumen stenosis suspected. All the patients underwent laparoscopy, which degree allows for making best decision on whether the was within 1 month after completion of investigations for surgery is requisite and whether nodulectomy or bowel diagnosis. Intestinal endometriosis disease was defined by segmental resection should be chosen.15 16 the minimum infiltration of muscularis propria. Endo- Additionally, preoperational determining of bowel metriosis foci on bowel serosa were peritoneal instead of endometriosis extent allows for that the surgeon informs bowel endometriosis. This study investigated the accu- the patient of the benefits as well as potential complica- rateness of RWC-TVS and DCBE in assessing the bowel tions during the operation procedure to be performed. endometriosis presence, evaluating the number and the In fact, evolution or complications of the symptoms in size for nodules of bowel endometriosis as well as deter- digestive system postsurgery may be different for patients mining the existence of peritoneal endometriosis with experiencing nodulectomy and segmental resection. In only intestinal serosa being infiltrated. this study, we assessed and compared the diagnosis accu- racy between DCBE and RWC-TVS for evaluating the Technique of rectal water contrast transvaginal ultrasound bowel endometriosis presence and extent. Two physicians conducted all of the examinations in line with a standardised procedure.10 RWC-TVS was conducted by using a Voluson E6 machine connected MATERIALS AND METHODS with a transvaginal transducer. Once the transducer was Study population placed in the vagina, a 6 mm flexible catheter was inserted This study was conducted from May 2012 to Aug 2016. in rectal lumen with a distance of 15 cm to the anus Patients at the reproductive ages with laparoscopy sched- through the anus. To facilitate of the catheter passage, uled for intestinal endometriosis suspicious clinical exam- a gel containing lidocaine was applied. A 50 mL syringe ination or symptoms were recruited as participants in this connected with the catheter and warm saline solution study. During this period, it is required by imaging workup then was injected to the rectum as well as the sigmoid that DCBE and RWC-TVS were conducted in the patients with ultrasonic control. The saline solution amount for with suspicious bowel endometriosis. Institutional Review showing the rectosigmoid varied from 100 to 350 mL, Board of Tianjin First Center Hospital approved the based on the intestinal wall dispensability. One hundred protocols involved in this study before initialisation of millilitres saline solution was slowly and continuously the study. All patients enrolled in this study signed the instilled at the procedure beginning, and the rest solu- written consent form. Inclusion criteria of this study were: tion was instilled if requested by ultrasound. When the suspicious deep pelvic endometriosis, at reproductive saline solution was not being infused during the ultra- age, gastrointestinal symptoms likely being caused by the sound, Klemmer forceps attached to the catheter was http://bmjopen.bmj.com/ bowel endometriosis, desire for complete surgical endo- placed to prevent backflow in the catheter. No significant metriosis excision. Exclusion criteria of this study were: saline solution leakage in the space was seen between precedent bilateral ovariectomy, radiological diagnosis of catheter and anus. Before, during as well as after saline bowel endometriosis, examination of barium radiology, injection, images were taken. Bowel endometriosis was colorectal surgery, hepatic or renal failure, suggestive shown ultrasonographically as solid, hypoechoic, nodular intolerance for iodinated contrast medium or refuse for lesions, adjacent to or penetrating the wall of the intes- DCBE or psychiatric disorders. tine. Hyperechoic foci sometimes may present inside the Symptoms were investigated systematically throughout lesion. Intestinal distension permits defining the intes- on September 23, 2021 by guest. Protected copyright. the study and were documented in a database. The exis- tinal nodule limits and various layers within rectal wall in tence of deep dyspareunia, dysmenorrhoea, dyschezia particular so as to estimate infiltration depth. The submu- and non-menstrual pelvic was examined and the symptom cosa and intestinal serosa are hyperechoic. Two layers in intensities were evaluated of all patients by a 10 cm visual muscularis propria
Load more

Recommended publications
  • Focal Spot, Spring 2006
    Washington University School of Medicine Digital Commons@Becker Focal Spot Archives Focal Spot Spring 2006 Focal Spot, Spring 2006 Follow this and additional works at: http://digitalcommons.wustl.edu/focal_spot_archives Recommended Citation Focal Spot, Spring 2006, April 2006. Bernard Becker Medical Library Archives. Washington University School of Medicine. This Book is brought to you for free and open access by the Focal Spot at Digital Commons@Becker. It has been accepted for inclusion in Focal Spot Archives by an authorized administrator of Digital Commons@Becker. For more information, please contact [email protected]. SPRING 2006 VOLUME 37, NUMBER 1 *eiN* i*^ MALLINCKRC RADIOLO AJIVERSITY *\ irtual Colonoscopy: a Lifesaving Technology ^.IIMi.|j|IUII'jd-H..l.i.|i|.llJ.lii|.|.M.; 3 2201 20C n « ■ m "■ ■ r. -1 -1 NTENTS FOCAL SPOT SPRING 2006 VOLUME 37, NUMBER 1 MIR: 75 YEARS OF RADIOLOGY EXPERIENCE In the early 1900s, radiology was considered by most medical practitioners as nothing more than photography. In this 75th year of Mallinckrodt Institute's existence, the first of a three-part series of articles will chronicle the rapid advancement of radiol- ogy at Washington University and the emergence of MIR as a world leader in the field of radiology. THE METABOLISM OF THE DIABETIC HEART More diabetic patients die from cardiovascular disease than from any other cause. Researchers in the Institute's Cardiovascular Imaging Laboratory are finding that the heart's metabolism may be one of the primary mechanisms by which diseases such as diabetes have a detrimental effect on heart function. VIRTUAL C0L0N0SC0PY: A LIFESAVING TECHNOLOGY More than 55,000 Americans die each year from cancers of the colon and rectum.
    [Show full text]
  • ACR Manual on Contrast Media
    ACR Manual On Contrast Media 2021 ACR Committee on Drugs and Contrast Media Preface 2 ACR Manual on Contrast Media 2021 ACR Committee on Drugs and Contrast Media © Copyright 2021 American College of Radiology ISBN: 978-1-55903-012-0 TABLE OF CONTENTS Topic Page 1. Preface 1 2. Version History 2 3. Introduction 4 4. Patient Selection and Preparation Strategies Before Contrast 5 Medium Administration 5. Fasting Prior to Intravascular Contrast Media Administration 14 6. Safe Injection of Contrast Media 15 7. Extravasation of Contrast Media 18 8. Allergic-Like And Physiologic Reactions to Intravascular 22 Iodinated Contrast Media 9. Contrast Media Warming 29 10. Contrast-Associated Acute Kidney Injury and Contrast 33 Induced Acute Kidney Injury in Adults 11. Metformin 45 12. Contrast Media in Children 48 13. Gastrointestinal (GI) Contrast Media in Adults: Indications and 57 Guidelines 14. ACR–ASNR Position Statement On the Use of Gadolinium 78 Contrast Agents 15. Adverse Reactions To Gadolinium-Based Contrast Media 79 16. Nephrogenic Systemic Fibrosis (NSF) 83 17. Ultrasound Contrast Media 92 18. Treatment of Contrast Reactions 95 19. Administration of Contrast Media to Pregnant or Potentially 97 Pregnant Patients 20. Administration of Contrast Media to Women Who are Breast- 101 Feeding Table 1 – Categories Of Acute Reactions 103 Table 2 – Treatment Of Acute Reactions To Contrast Media In 105 Children Table 3 – Management Of Acute Reactions To Contrast Media In 114 Adults Table 4 – Equipment For Contrast Reaction Kits In Radiology 122 Appendix A – Contrast Media Specifications 124 PREFACE This edition of the ACR Manual on Contrast Media replaces all earlier editions.
    [Show full text]
  • Virtual Colonoscopy
    Virtual Colonoscopy National Digestive Diseases Information Clearinghouse Virtual colonoscopy (VC) uses x rays and • You will be asked to hold your breath computers to produce two- and three- during the scan to avoid distortion on dimensional images of the colon (large the images. intestine) from the lowest part, the rectum, • The scanning procedure is then National all the way to the lower end of the small Institute of repeated with you lying on your Diabetes and intestine and display them on a screen. Digestive stomach. and Kidney The procedure is used to diagnose colon Diseases and bowel disease, including polyps, diver- After the examination, the information ticulosis, and cancer. VC can be performed from the scanner must be processed to NATIONAL INSTITUTES with computed tomography (CT), some- create the computer picture or image of OF HEALTH times called a CAT scan, or with magnetic your colon. A radiologist evaluates the resonance imaging (MRI). results to identify any abnormalities. You may resume normal activity after the VC Procedure procedure, although your doctor may While preparations for VC vary, you will usually be asked to take laxatives or other oral agents at home the day before the pro- cedure to clear stool from your colon. You Conventional Colonoscopy may also be asked to use a suppository to In a conventional colonoscopy, the cleanse your rectum of any remaining fecal doctor inserts a colonoscope—a long, matter. flexible, lighted tube—into the patient’s VC takes place in the radiology department rectum and slowly guides it up through of a hospital or medical center.
    [Show full text]
  • Virtual Colonography
    Virtual Colonography Radiologists at the VCU Medical Center were among the first in Virginia to develop, test and adopt for routine use a more patient-friendly way to screen for colon polyps and colon cancer. The noninvasive treatment procedure known medically as - Virtual Colonography (VC) or CT Colonography (CTC) - uses computed tomography (CT) scanning to determine whether or not colon polyps are present. Because Virtual Colonography does not require the use of a colonoscope as in a conventional colonoscopy procedure, it is sometimes referred to as a “Virtual Colonoscopy”. What makes Virtual Colonography an ideal option for screening? Because the procedure is noninvasive, safe, quick (lasting only a few minutes), and does not require sedation, Virtual Colonography is an excellent screening technology, and often preferred by patients over the conventional or standard colonoscopy. There are no risks of complications such as bowel perforation or complications from sedation associated with standard colonoscopy. Patients may return to their usual activities as soon as the test is over. Virtual Colonography also allows for evaluation of the entire colon, something a standard colonoscopy may not be able to do in all cases because normal twists and turns in the large intestines make navigating the colonoscope difficult. Virtual Colonography is accurate in identifying significant polyps and offers an alternative screening option for those who are simply not willing to undergo conventional colonoscopy, which is invasive, can be uncomfortable, and requires sedation. How accurate is Virtual Colonography compared to conventional colonoscopy? Early studies show that Virtual Colonography is comparable to conventional colonoscopy in terms of identifying polyps six millimeters or greater in size.
    [Show full text]
  • Digestive Endoscopy in Five Decades
    ■ COLLEGE LECTURES Digestive endoscopy in five decades Peter B Cotton ABSTRACT – The world of gastroenterology scopy. So-called semi-flexible gastroscopes were changed forever when flexible endoscopes cumbersome and used infrequently by only a few became available in the 1960s. Diagnostic and enthusiasts. therapeutic techniques proliferated and entered the mainstream of medicine, not without some Diagnostic endoscopy controversy. Success resulted in a huge service demand, with the need to train more endo- The first truly flexible gastroscope was developed in 1 This paper is scopists and to organise large endoscopy units the USA, following pioneering work on fibre-optic 2 based on the Lilly and teams of staff. The British health service light transmission in the UK by Harold Hopkins. Lecture given at struggled with insufficient numbers of consul- However, commercial production of endoscopes was the Royal College tants, other staff and resources, and British rapidly dominated by Japanese companies, building of Physicians on endoscopy fell behind that of most other devel- on their earlier expertise with intragastric cameras. 12 April 2005 by oped countries. This situation is now being My involvement began in 1968, whilst doing bench Peter B Cotton addressed aggressively, with many local and research with Dr Brian Creamer at St Thomas’ MD FRCP FRCS, national initiatives aimed at improving access and Hospital, London. An expert in coeliac disease (and Medical Director, choice, and at promoting and documenting jejunal biopsy), he opined that gastroscopy might Digestive Disease quality. Many more consultants are needed and become useful and legitimate only if it became pos- Center, Medical some should be relieved of their internal medi- sible to take target biopsy specimens – since no one University of South Carolina, cine commitment to focus on their specialist seriously believed what endoscopists said that they Charleston, USA skills.
    [Show full text]
  • Ography C Virtual Colonoscopy for Screening
    466 Gut 2004;53:466 Gut: first published as on 11 February 2004. Downloaded from Please visit the Gut website (www.gutjnl.com) for links possible to generate three dimensional ultrasound cholangiograms. to these articles – many to full text. The authors prospectively evaluated the ability of this technique, compared with direct cholangiography (endoscopic retrograde cholangiopancreatography (ERCP)/percutaneous transhepatic cho- langiogram (PTC)) and MRCP, to detect and characterise biliary ....................................................................... obstruction in 40 patients. Experienced operators, who were blinded to the results of the other tests, evaluated images for Pseudo-pseudomembranous collagenous technical adequacy, presence and level of obstruction, and c suspected cause of any stricture. Compared with two dimensional colitis ultrasound, three dimensional analysis improved the assessment of m Yuan S, Reyes V, Bronner MP. Pseudomembranous collagenous colitis. Am J biliary anatomy in seven of 40 patients. Three dimensional Surg Pathol 2003;27:1375–9. ultrasound however visualised the peripapillary region less well Microscopic colitis has been divided into three types (Warren BF, et (80%) than MRCP (95%) and direct cholangiography (100%) but al. Histopathology 2002;40:374–6), all characterised by watery was superior at demonstrating the gall bladder and biliary tree diarrhoea and minimal mucosal changes at colonoscopy, asso- proximal to a stricture. All techniques were highly sensitive for ciated with an increase in lamina propria lymphocytes and minimal detection of biliary obstruction (100%) and each diagnosed the crypt architectural distortion. Of the three types, lymphocytic colitis likely cause in 90–95% of cases. Three dimensional ultrasound also has an increase in intraepithelial lymphocytes, collagenous detected the correct level of obstruction in 92% of cases compared colitis has a subepithelial collagen band, and microscopic colitis not with 95% for MRCP and 90% for ERCP/PTC.
    [Show full text]
  • Posters and Exhibits
    Posters and Exhibits List of Presiding Officers Ronald S. Arellano, MD Pamela T. Johnson, MDH Nabile M. Safdar, MD Tami J. Bang, MD Jamlik-Omari Johnson, MDH Mariano Scaglione, MD Ferco H. Berger, MD Douglas S. Katz, MD Alan E. Schlesinger, MD George S. Bisset III, MD Arvin Kheterpal, MD Aarti Sekhar, MD Matthew D. Bucknor, MD Gregory Kicska, MD, PhD Gaurang V. Shah, MD Brett W. Carter, MDH Edward Y. Kim, MD Anna Shapiro, MD Abhishek Chaturvedi, MD John Kim, MD Akash Sharma, MD Asim F. Choudhri, MD Phillip J. Koo, MDH Andrew Sher, MD Donna J. Cross, PhD Benjamin Larimer, PhD Atul B. Shinagare, MDH Cinthia Cruz, MD Karen S. Lee, MD Girish S. Shroff, MD Patricia M. de Groot, MD Seon-Kyu Lee, MD, PhD Dorothy A. Sippo, MD Zachary S. Delproposto, MD Bob Liu, PhD Clint W. Sliker, MD Jun Deng, PhD Zheng Feng Lu, PhD William C. Small, MD, PhD Vinay A. Duddalwar, MD, FRCR Martha B. Mainiero, MD Tina D. Tailor, MDH Gabriel C. Fine, MD Naganathan B. Mani, MD Ukihide Tateishi, MD, PhD Phoebe E. Freer, MD Gordon McLennan, MDH Temel Tirkes, MD David M. Gauntt, PhD Amy R. Mehollin-Ray, MD Srini Tridandapani, MD, PhDH Joseph R. Grajo, MD Martha G. Menchaca, MD, PhD Yolanda D. Tseng, MD John C. Grecula, MDH Suyash Mohan, MDH Dharshan R. Vummidi, MD, FRCR Martin L. Gunn, MBChBH Savvas Nicolaou, MDH Carolyn L. Wang, MD Richard S. Ha, MD Paul Nikolaidis, MD Antonio C. Westphalen, MDH Koichi Hayano, MD Ogonna K. Nwawka, MDH Sarah B. White, MD,MSH Pedram Heidari, MD Robert Orth, MD,PhD Geoffrey E.
    [Show full text]
  • Virtual Colonoscopy Exam Preparation Stanford Radiology Scheduling Center for 7Days Before the Test: Phone: 650-723-6855 DO NOT Take Iron Pills (Ferrous Sulfate)
    Scheduling An Appointment Virtual Colonoscopy Exam Preparation Stanford Radiology Scheduling Center For 7days before the test: Phone: 650-723-6855 DO NOT take iron pills (Ferrous Sulfate). DO NOT EAT foods with seeds such as poppy, tomatoes, watermelon, or cucumbers. Avoid celery, grapes, Fax: 650-723-6036 green peas, beans, seaweed, popcorn and nuts. For maps and directions, go to: Day before the test: www.imaging.stanfordhospital.com Starting at midnight, drink clear liquids only: Clear liquids includes water, tea with no milk, black coffee, Virtual 7-UP, ginger ale, apple juice, white grape juice, white cranberry juice (no juice that is red or purple), clear soup broth, gelatin (no red, blue, green or purple), popsicles (no red or purple). Redwood City Colonoscopy Stanford Medicine Outpatient Center You may wish to place the kit in the refrigerator to make the contents more pleasant to drink. Or, you may 450 Broadway Pavilion B, drink them at room temperature. Redwood City, CA 94063 Do not eat any solid food while on this diet. Do not drink alcohol. No dairy products. Stanford Medicine Imaging Step One - 11:00 am Take two Bisacodyl® (Dulcolax) tablets (5 mg each) with 1 glass of clear liquids. Hours: Monday-Friday, 7:00AM to 5:00 PM Services: MRI, CT, Diagnostic X-Ray, US, Bone Step Two - 2:00 pm Drink one bottle (296 mL) of magnesium citrate. Follow this with 6 cups of clear liquids over Density the next 90 minutes. Step Three - 5:00 pm Directions: From South (San Jose)-Take US-101 Mix package of barium sulfate (EZ CAT) with 450 mL of water.
    [Show full text]
  • CT Colonography: a Visual, Noninvasive, and Patient-Friendly Colorectal Cancer Screening Option
    CT Suite CT Colonography: A Visual, Noninvasive, and Patient-Friendly Colorectal Cancer Screening Option A CLINICAL MONOGRAPH 266066 © 2017 Bracco Diagnostics Inc. CT Colonography: A Visual, Noninvasive, and Patient-Friendly Colorectal Cancer Screening Option A CLINICAL MONOGRAPH Bracco Diagnostics Inc. is committed to helping decrease morbidity and mortality rates in the United States due to colorectal cancer… Colorectal cancer (CRC) is currently the second leading cause of cancer-related mortality in the United States.1,2 Early detection and removal of early-stage cancers or precancerous adenomatous polyps has been shown to significantly reduce mortality from CRC.3,4 The American Cancer Society (ACS) currently recommends that men and women of average risk should begin CRC screening at age 50.5 Optical colonoscopy (OC) has been the most widely adopted visual screening method for CRC; however, screening rates with OC are hampered by the invasive nature of the exam, the need for extensive bowel prep, and the use of anesthesia. Computed tomography colonography (CTC), sometimes referred to as virtual colonoscopy, represents a visual, noninvasive, patient-friendly option that healthcare professionals can use for CRC screening in asymptomatic adults of average risk.6,7 CTC is associated with very high patient satisfaction that may contribute to improved adherence rates, attracting individuals who might otherwise forego screening.8–11 This clinical monograph is designed to help healthcare professionals learn more about CTC as an option for CRC screening. Recent recommendations, including those from the U.S. Preventive Services Task Force (USPSTF),12,13 the Centers for Disease Control and Prevention (CDC),14,15 the ACS, the U.S.
    [Show full text]
  • Colorectal Cancer Screening
    Colorectal Cancer Screening What is colorectal cancer screening? Screening examinations are tests performed to identify disease in individuals who lack any signs or symptoms. The primary goal of cancer screening is to detect cancer at its earliest stage, when treatment is still an option. However, the primary goal of colorectal cancer screening is to identify abnormal growths, known as polyps, well before the polyps become cancerous. In order to be endorsed by the medical community, a screening program must meet a number of criteria (https://www.radiologyinfo.org/en/info/safety-hiw_05) , including reducing the number of deaths from the given disease. Many options exist for individuals who are interested in undergoing screening for colorectal cancer, including: Computed tomography colonography (CTC), also called virtual colonoscopy, a test in which low-dose CT scanning is used to produce pictures of the colon and rectum. Colonoscopy, a test that examines the rectum and entire colon using a long, lighted instrument called a colonoscope. Double-contrast barium enema, also called lower GI tract radiography (https://www.radiologyinfo.org/en/info/lowergi) , a test in which a barium solution and air are introduced into the colon and a series of x-rays are taken of the entire colon and rectum. A single-contrast barium enema that produces images using x-ray and a barium solution without air is also available for select situations. Sigmoidoscopy, a test that examines the rectum and lower colon using a lighted instrument called a sigmoidoscope. Screening examinations for detection only of colorectal cancer include: Fecal occult blood test (FOBT) or fecal immunochemical test that checks for hidden blood in fecal material (stool).
    [Show full text]
  • Colonoscopy.Pdf
    Colonoscopy National Digestive Diseases Information Clearinghouse What is colonoscopy? that make up the GI tract are the mouth, esophagus, stomach, small intestine, large Colonoscopy is a procedure that uses a long, intestine—which includes the appendix, flexible, narrow tube with a light and tiny cecum, colon, and rectum—and anus. The camera on one end, called a colonoscope or intestines are sometimes called the bowel. scope, to look inside the rectum and entire The last part of the GI tract—called the colon. Colonoscopy can show irritated and lower GI tract—consists of the large intestine swollen tissue, ulcers, and polyps—extra and anus. pieces of tissue that grow on the lining of the intestine. A gastroenterologist—a doctor who specializes in digestive diseases— performs this procedure. This procedure is different from virtual Esophagus colonoscopy, which uses a combination of Mouth x rays and computer technology to create images of the rectum and entire colon. Read more in Virtual Colonoscopy at Stomach www.digestive.niddk.nih.gov. What are the rectum and colon? The rectum and colon are part of the gastrointestinal (GI) tract, a series of hollow Small organs joined in a long, twisting tube from intestine the mouth to the anus—a 1-inch-long opening through which stool leaves the body. Large The body digests food using the movement intestine of muscles in the GI tract, along with the Appendix release of hormones and enzymes. Organs Rectum Anus The GI tract The large intestine is about 5 feet long in adults and absorbs water and any remaining Get Screened for Colon nutrients from partially digested food passed from the small intestine.
    [Show full text]
  • Upper GI Endoscopy (Procedure)
    Upper GI Endoscopy National Digestive Diseases Information Clearinghouse What is an upper gastrointestinal (GI) endoscopy? An upper GI endoscopy is a procedure that Esophagus Mouth uses an endoscope—a small, flexible tube with a light—to see the lining of the upper GI tract. A gastroenterologist, surgeon, or other trained health care provider performs Stomach the procedure. A gastroenterologist is a doctor who specializes in digestive diseases. A health care provider may refer to the procedure as an EGD or Duodenum esophagogastroduodenoscopy. Small What is the upper intestine gastrointestinal tract? Anus The upper GI tract is the first part of the GI tract, which includes a series of hollow The upper GI tract organs joined in a long, twisting tube from the mouth to the anus—the 1-inch-long opening through which stool leaves the body. food or drink from leaking out of the stomach The upper GI tract includes the mouth, and back into the esophagus. This process is esophagus, stomach, duodenum, and small automatic and people are usually not aware intestine. The duodenum is the first part of of it, though people sometimes feel food in the small intestine. their esophagus when they swallow something too large, try to eat too quickly, or drink very The esophagus carries food and liquids from hot or cold liquids. the mouth to the stomach. The muscular layers of the esophagus are normally pinched The stomach slowly pumps the food and together at both the upper and lower ends liquids into the small intestine, which absorbs by muscles called sphincters. When a person needed nutrients.
    [Show full text]