|Image diagnostic of colonic diseases – controversialquestions|
- Pomakov, A. Rizov, I. Stancheva
In the system of colonic diseases’ diagnostic algorithm, fibrocolonoscopy (FCS) is defined as “Golden Standard”. By this reason some X-ray diagnostic methods – irrigography, etc. are currently not being used in a number of health institutions. The aim of this study is a comparative analysis of FCS and irrigography diagnostic efficacy in various colonic diseases. For 10-years period, in cooperation with a gastroenterologist-gastroscopist, 2151 patients with various colonic diseases were evaluated by FCS and irrigography with pharmaco-diagnostics/when necessary. Advantage of FCS was established in diagnosing diseases with patho-morfologic changes on the inner surface of the colon – benign and malignant neoplastic processes, chronic inflammatory diseases, etc. At the same time functional changes – irritated colon syndrome, changes in defecation act, etc., are not an object of diagnosis through FCS. Correction in colonic diseases diagnostic algorithm is necessary. FCS should be mandatory. If result is negative – irrigography with pharmaco-diagnostics should be done.
|Key words: FCS – “GOLDEN STANDARD”. IRRITATED COLON. IRRIGOGRAPHY wITH PHARMACO-DIAGNOSTICS|