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Related Experiment Videos

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
PubMed
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.

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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:

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  • Ileal intubation is a valuable adjunct to colonoscopy, particularly for patients presenting with diarrhea.