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Letter
Computed tomography colonography: colon examination or Pandora’s box
  1. R Iannaccone,
  2. A Laghi,
  3. C Catalano,
  4. F Mangiapane,
  5. D Marin,
  6. R Passariello
  1. Department of Radiological Sciences, University of Rome-La Sapienza, Rome, Italy
  1. Correspondence to:
    Dr R Iannaccone
    Via A Graf, 40 Rome, Italy; r_iannacconeyahoo.it

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    We read with interest the article by Ginnerup Pedersen et al (Gut 2003;52:1744–7) investigating the frequency and diagnostic consequences of extracolonic findings at multidetector computed tomography (MDCT) colonography.

    The authors noted extracolonic findings in 65% of cases, with the need for further workup in 12% and surgery in 3%. The authors concluded that the high prevalence of extracolonic findings may make MDCT colonography a problematic colorectal cancer screening tool for both ethical and economic reasons.

    We would like to comment on the question raised by Ginnerup Pedersen et al—namely, whether MDCT colonography should be regarded as a colon examination or a sort of “Pandora’s box” (if used for abdominal screening).

    Notably, a …

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