Routine examination of the terminal ileum, is it necessary?

G. Surya, D. Khanna, G. Lemite, V. Gumaste, P. Dave

Research output: Contribution to journalArticle

Abstract

AIM: The aim of this study was to determine the diagnostic yield of routine examination of the terminal ileum during colonoscopy. METHOD: We retrospectively reviewed the reports of 1380 consecutive colonoscopies performed in our unit over a period of seven years RESULT: The age range of the patients was 16-95 years The terminal ileum was intubated in 424 patients. The gross appearance was abnormal in 9 cases (2.1%). The macroscopic findings included ulcers, erythema, nodules and polyp in one case. Histology revealed evidence of a carcinoid in 1 case, inflammatory bowel diseases in 3 patients and CMV ileitis in 1 patient. Two patients had non-specific inflammation while in 2 others the biopsy showed lymphoid hyperplasia. Of the 5 patients with significant findings, in only one (0.2%) was the finding unexpected. In the remaining 4 patients, disease of the terminal ileum had been suspected prior to the procedure CONCLUSION: Routine examination of the terminal ileum does not appear to be useful. It is probably necessary only when a specific pathology of the terminal ileum is suspected.

Original languageEnglish (US)
Pages (from-to)321
Number of pages1
JournalGastrointestinal Endoscopy
Volume43
Issue number4
StatePublished - 1996
Externally publishedYes

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Ileum
Colonoscopy
Ileitis
Carcinoid Tumor
Erythema
Polyps
Ulcer
Hyperplasia
Histology
Pathology
Inflammation
Biopsy

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Surya, G., Khanna, D., Lemite, G., Gumaste, V., & Dave, P. (1996). Routine examination of the terminal ileum, is it necessary? Gastrointestinal Endoscopy, 43(4), 321.

Routine examination of the terminal ileum, is it necessary? / Surya, G.; Khanna, D.; Lemite, G.; Gumaste, V.; Dave, P.

In: Gastrointestinal Endoscopy, Vol. 43, No. 4, 1996, p. 321.

Research output: Contribution to journalArticle

Surya, G, Khanna, D, Lemite, G, Gumaste, V & Dave, P 1996, 'Routine examination of the terminal ileum, is it necessary?', Gastrointestinal Endoscopy, vol. 43, no. 4, pp. 321.
Surya G, Khanna D, Lemite G, Gumaste V, Dave P. Routine examination of the terminal ileum, is it necessary? Gastrointestinal Endoscopy. 1996;43(4):321.
Surya, G. ; Khanna, D. ; Lemite, G. ; Gumaste, V. ; Dave, P. / Routine examination of the terminal ileum, is it necessary?. In: Gastrointestinal Endoscopy. 1996 ; Vol. 43, No. 4. pp. 321.
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