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Assessment of 3 Bowel Preparation Protocols for Computed Tomography Pneumocolonography in Normal Dogs

Steffey, Michele A., Zwingenberger, Allison L., Daniel, Leticia, Taylor, Sandra L.
Veterinary surgery 2016 v.45 no.7 pp. 929-935
cecum, colon, computed tomography, cross-over studies, dogs, feces, image interpretation, males, models, surgery
OBJECTIVE: To investigate the effects of 3 different bowel preparation protocols on interpretation of computed tomography (CT) pneumocolonography images. STUDY DESIGN: Experimental crossover design. ANIMALS: Intact male, hound‐cross, research colony dogs (n=4). METHODS: All dogs received the 3 different bowel preparation protocols for CT pneumocolonography in the same order, with a minimum of 2 weeks between protocols. For each segment of large bowel, the subjective adequacy of bowel cleansing was assessed, residual fecal and bowel volumes were calculated, and the density of fecal material in the bowel lumen was measured. Linear mixed effect models that included a random dog effect were used to evaluate mean differences in outcome measures across protocols. RESULTS: No dogs experienced any clinical problems associated with the protocols or CT pneumocolonography. Bowel cleansing was considered adequate for CT pneumocolonography interpretation for all 3 protocols. There was a significant effect of protocol on residual fecal volumes and the fecal:bowel volume ratio, with the 2 protocols that included an extended fast producing the lowest total residual fecal volumes. There was a significant effect of protocol on maximum measured density of residual fecal material with the 2 protocols including iodinated contrast having the highest density. CONCLUSIONS: All protocols were sufficient for CT pneumocolonography interpretation and contrast‐tagging of residual fecal material was successful with oral iopamidol administration. An at‐home bowel cleansing protocol may provide adequate bowel cleansing for CT pneumocolonography image interpretation.