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Clinical case review

Virtual colonoscopy in routine practice?

Michael Bourke

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Abstract

Is virtual colonoscopy currently a reasonable option in routine clinical practice?

Article Extract

Case scenario

I recently saw a patient with a worrying change in bowel habit. She was very reluctant to have a colonoscopy because a relative had suffered a perforation during a diagnostic procedure, so we compromised and she underwent a virtual colonoscopy. However, the ensuing report said that the procedure was done on the understanding that pathology could not be entirely excluded. Is virtual colonoscopy a reasonable option? Did I waste my patient’s time and money?

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