1922

Nötral Oral Kontrast Maddelerin Performansının Değerlendirilmesi: Bilgisayarlı Tomografi Enterografi Çalışması

Amaç: Bu çalışmada iki nötral oral kontrast maddenin, polietilen glikol (PEG) ve laktuloz çözeltisinin, performanslarını karşılaştırmayı amaçladık. Gereç ve Yöntem: Laktuloz çözeltisi veya PEG kullanan ardışık 54 hastanın bilgisayarlı tomografi enterografi (BT-E) verileri retrospektif olarak değerlendirildi ve 2 radyoloğun karşılıklı anlaşması ile ölçümler yapıldı. Ayrıca, hastaların talimatlara uyumuyla ilgili teknisyen notları ve oral kontrast maddeyle ilgili rahatsızlıkları hakkında hastalar tarafından doldurulan bir anketi içeren radyolojik kayıtlar da araştırıldı. İnce barsak distansiyonu ve hasta toleransı açısından laktuloz çözeltisi ve PEG grubu karşılaştırıldı. Laktuloz çözeltisi ve PEG grupları arasındaki ilişki, normal dağılım gösteren sürekli değişkenler için Student’s t-test, normal dağılım göstermeyen sürekli değişkenler için Mann-Whitney U testi kullanılarak analiz edildi. Laktuloz çözeltisi grubu ve PEG grubu arasında, hasta toleransı açısından ilişki ise ki-kare testi kullanılarak değerlendirildi. Bulgular: Duodenal segmentlerde laktuloz çözeltisi grubu tarafından sağlanan barsak distansiyonu PEG grubundan daha üstündü (p

Evaluation of the Performance of Neutral Oral Contrast Materials: A Computered Tomography Enterography Study

Objectives: We aimed to compare the performances of two neutral oral contrast agents, polyethylene glycol (PEG) and lactulose solution. Materials and Methods: The computed tomography enterography (CT-E) data of 54 consecutive patients that either used lactulose solution or PEG were retrospectively analyzed and measurements were made by the mutual agreement of 2 radiologists. The radiological records of patients were also evaluated by including technician’s notes regarding patient compliance with instructions and a questionnaire to be filled out by the patients about oral contrast agent related discomfort. The intestinal distension and patient’s tolerance were compared between the lactulose solution and PEG groups. The relationship between the lactulose solution and PEG groups was analyzed using the Student’s t-test for continuous variables with normal distribution, and the Mann-Whitney U test for continuous variables without normal distribution. The relationship between the lactulose group and the PEG group in terms of patient tolerance was evaluated using the chi-square test. Results: The intestinal distention provided by the lactulose group in the duodenal segments was superior to that of the PEG group (p

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