Is Routine Ileoscopy Useful? An Observational Study of Procedure Times, Diagnostic Yield, and Learning Curve

Abstract

IIeoscopy is the gold standard in the documentation of completeness of colonoscopy. With practice, it can be achieved routinely in at least 85% of colonoscopies. In skilled hands, it adds only 3 minutes to the procedure time, and contributes significantly to quality assurance and diagnostic yield.

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“…The most frequent specific diagnosis for ITIUs obtained in our study was Crohn's disease. This is consistent with previously reported series [8,9]. In countries such as India where tuberculosis continues to be highly prevalent, differentiating Crohn's disease from tuberculosis is a challenging task.…”

Guidelines for the management of Crohn’s disease. Recommendations of the Working Group of the Polish National Consultant in Gastroenterology and the Polish Society of Gastroenterology

“…Podstawowym badaniem endoskopowym jest kolonoskopia z oceną końcowego odcinka jelita krętego i pobraniem wycinków (zmiany w ileum terminale wystę-pują u około 40% chorych, a w jelicie grubym u około 40-50%) [5][6][7][8]. Wartość diagnostyczną ma zwłaszcza stwierdzenie zmian o charakterze brukowania błony śluzowej, zmian odcinkowych, zlokalizowanych w ileum terminale oraz okołoodbytowych.…”

Routine ileal intubation during screening colonoscopy: a useful maneuver?

“…Routine ileoscopy during colonoscopy is thought by many clinicians to complete the examination [1][2][3]. However, the utility of such an investigation is under question [4].…”