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Diagnostic value of ileoscopy: a report from India
D K Bhasin1, M K Goenka, S Dhavan
1Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. dkbhasin@ch1.dot.net.in
Ileoscopy, performed after colonoscopy, significantly improves diagnostic yield in developing countries. This adjunct procedure helps establish and modify diagnoses, particularly for conditions like gastrointestinal bleeding and infections.
Area of Science:
- Gastroenterology
- Endoscopy
- Diagnostic Medicine
Background:
- Colonoscopy is a primary tool for examining the large intestine.
- Limited data exists on ileoscopy's utility in developing nations.
- The terminal ileum is often implicated in various gastrointestinal pathologies.
Purpose of the Study:
- To evaluate the usefulness of ileoscopy as an adjunct to colonoscopy in India.
- To assess the role of ileoscopy in increasing diagnostic yield and modifying diagnoses.
- To provide data from a developing country context.
Main Methods:
- Prospective study of 66 consecutive patients undergoing colonoscopy.
- Ileoscopy performed using a forward-viewing fiberoptic colonoscope.
- Detailed recording of ileal mucosa, intubation time, and length of examined ileum.
Main Results:
- Ileum intubation was successful in 86.4% of cases (57/66).
- Additional diagnostic information was obtained in 22.5% (13/66) of patients.
- Ileoscopy established new diagnoses in 14.4% (8/66) and altered diagnoses in 8.7% (5/66).
- Specific diagnoses included typhoid/NSAID ulcers, lymphoma, tuberculosis, and reactive arthritis.
Conclusions:
- Ileoscopy serves as a valuable adjunct to colonoscopy.
- It enhances diagnostic accuracy by establishing and modifying diagnoses.
- This procedure is particularly beneficial in resource-limited settings.
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