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'''Colonography''' refers to radiographic imaging of the large intestine. [[CT]] colonography is the modality most frequently used. [[Colonoscopy]] is used more often than colonography for evaluation of the large intestine, as it allows for taking biopsy samples and removing polyps during the same procedure. | '''Colonography''' refers to radiographic imaging of the large intestine. [[CT]] colonography is the modality most frequently used. [[Colonoscopy]] is used more often than colonography for evaluation of the large intestine, as it allows for taking biopsy samples and removing polyps during the same procedure. | ||
== Indications == | == Indications == | ||
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* [[Colonic polyps]] | * [[Colonic polyps]] | ||
== | == Modalities == | ||
== | === CT colonography === | ||
CT colonography with insufflation of the large intestine with CO2 is also called virtual colonoscopy or CT colonoscopy. It avoids the uncomfortableness of a regular colonoscopy but does not allow for sampling or treatment, and so colonoscopy is usually preferred instead. | |||
=== Colonic transit study === | === Colonic transit study === | ||
A colonic transit study can be used to evaluate constipation. It involves the patient swallowing a capsule containing many small radiopaque markers. Serial radiographs are then taken, allowing one to visualise the movement of the markers over time. | A colonic transit study can be used to evaluate constipation. It involves the patient swallowing a capsule containing many small radiopaque markers. Serial radiographs are then taken, allowing one to visualise the movement of the markers over time. | ||
=== Barium enema === | |||
Barium may be administered rectally, in which case the examination is called a barium enema. This is rarely performed. | |||
=== Defecography === | === Defecography === | ||
Defecography is a rarely used procedure used to evaluate for constipation. The rectum is filled with barium paste, and the patient defecates during [[Fluoroscopy|fluoroscopic]] examination. | Defecography is a rarely used procedure used to evaluate for constipation. The rectum is filled with barium paste, and the patient defecates during [[Fluoroscopy|fluoroscopic]] examination. | ||
<noinclude> | == Patient preparation == | ||
Emptying the bowel before colonography is essential. The patient must fast minimum 6 hours ahead and only consume clear fluids (water and thin drinks) the day before. A strong [[laxative]] must be given to empty the bowel completely. | |||
== Interpretation == | |||
In cases of colorectal cancer which forms a stenosis, the apple core sign can be seen. This is an annular constriction of the colonic lumen which looks like an apple-core. | |||
In case of colitis, the bowel wall is thickened and the bowel lumen is irregularly narrowed.<noinclude> | |||
[[Category:Radiology]] | [[Category:Radiology]] | ||
</noinclude> | </noinclude> |