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This is an uneventful benign complication of the colonic insufflation.
All patients underwent colonic insufflation with carbon dioxide using a CO2 injector (PROTOCO2L; Bracco, Princeton, USA).
Pain is common during colonic insufflation required for CT colonography.
Colonic insufflation is one of the most burdensome aspects of CT colonography [ 13- 15].
The primary outcome was the difference in maximum pain during colonic insufflation on an 11-point numeric rating scale.
A single bolus 7.5 μg/kg intravenous alfentanil results in a clinically relevant reduction in maximum pain during colonic insufflation required for CT colonography.
Alfentanil did not influence the procedure time and with alfentanil fewer patients considered colonic insufflation the most burdensome aspect of CT colonography.
The visual analogue scale [ 44] is also commonly used, however this scale is less practical during colonic insufflation on a narrow table, while having colonic cramps and being monitored.
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Anyway, also with these techniques, the patient has to undergo a full bowel preparation (the quality of the examination depends on the cleanliness of the patient's colon) and colonic distension by air insufflation, these being the main causes of discomfort.
A prospective study by Gollub et al. evaluated 17 patients with a combined PET/CT examination after colonic cleansing and insufflation of the colon with carbon dioxide.
The differences in CT protocols included the need for additional CT data acquisition and insufflation in cases of poor colonic distension; a minority of experts did not consider this mandatory although they agreed it should be recommended.
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