Brief Article
Copyright ©2009 Baishideng. All rights reserved.
World J Gastrointest Endosc. Oct 15, 2009; 1(1): 51-55
Published online Oct 15, 2009. doi: 10.4253/wjge.v1.i1.51
CT colonography: Friend or foe of practicing endoscopists
Stacy B Menees, Ruth Carlos, James Scheiman, Grace H Elta, A Mark Fendrick
Stacy B Menees, James Scheiman, Grace H Elta, Division of Gastroenterology, University of Michigan, Ann Arbor, MI 48109, United States
Ruth Carlos, Division of Radiology, University of Michigan, Ann Arbor, MI 48109, United States
A Mark Fendrick, Division of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, United States
Author contributions: Menees SB performed the research, collected the data, and wrote the paper; Carlos R analyzed the data and edited the paper; Scheiman J, Elta G and Fendrick AM edited the paper.
Correspondence to: Stacy B Menees, MD, Division of Gastroenterology, University of Michigan, 3912 Taubman Center SPC 5362, Ann Arbor, MI 48109, United States.
Telephone: +1-734-2321707
Received: April 28, 2009
Revised: August 31, 2009
Accepted: September 7, 2009
Published online: October 15, 2009

AIM: To investigate the perceived impact of computed tomographic colonography (CTC) on endoscopists’ current and future practice.

METHODS: A 21-question survey was mailed to 1570 randomly chosen American Society for Gastrointestinal Endoscopy (ASGE) members. Participants reported socio-demographics, colonoscopy volume, percentage of colonoscopies performed for screening, and likelihood of integration of CTC into their practice.

RESULTS: A total of 367 ASGE members (23%) returned the questionnaire. Respondents were predominantly male (> 90%) and white (83%) with an average age of 49 years. Most respondents (58%) had no plans to incorporate CTC into daily practice and only 7% had already incorporated CTC into daily practice. Private practice respondents were the least likely to incorporate this modality into their daily practice (P = 0.047). Forty-three percent of participants were willing to take courses on CTC reading, particularly those with the highest volume of colonoscopy (P = 0.049). Forty percent of participants were unsure of CTC’s impact on future colonoscopy volume while 21% and 18% projected a decreased and increased volume, respectively. The estimated impact of CTC volume varied significantly by age (P = 0.002). Respondents > 60 years felt that CTC would increase colonoscopy, whereas those < 40 years thought CTC would ultimately decrease colonoscopy.

CONCLUSION: Practicing endoscopists are not enthusiastic about the incorporation of CTC into their daily practice and are unsure of its future impact on their practice.

Keywords: Computed tomographic colonography, Virtual colonoscopy, Endoscopy, Colonoscopy, Screening, Colorectal cancer