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Diagnostic yield of routine ileoscopy
F R Zwas1, N A Bonheim, C A Berken
1Greenwich Hospital, Yale Medical School, Connecticut, USA.
The American Journal of Gastroenterology
|September 1, 1995
Summary
Routine ileoscopy during colonoscopy aids diagnosis, especially for diarrhea. It confirms examination completeness and helps identify inflammatory bowel disease, proving valuable in specific patient groups.
Area of Science:
- Gastroenterology
- Endoscopy
Background:
- Ileal intubation during colonoscopy is not routinely performed despite its diagnostic potential.
- It can confirm examination completeness and aid in diagnosing inflammatory bowel disease.
Purpose of the Study:
- To prospectively evaluate the diagnostic utility of routine ileoscopy in patients undergoing colonoscopy.
Main Methods:
- Prospective evaluation of ileal intubations in 138 patients undergoing colonoscopy.
Main Results:
- Ileoscopy yielded a positive diagnosis in 2.7% of asymptomatic surveillance patients.
- Diarrhea was reported by 29% of patients (18% non-HIV, 67% HIV-positive).
Conclusions:
- Ileal intubation is a valuable adjunct to colonoscopy, particularly for patients presenting with diarrhea.