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CC BY-NC-ND 4.0 · Journal of Coloproctology 2022; 42(01): 059-062
DOI: 10.1055/s-0041-1739298
Original Article

The Value of Terminal Ileum Intubation During Colonoscopy

Nawal Alkhalidi 
1   Department of Gastroenterology and Hepatology Center Baghdad, Baghdad, Iraq
,
Abdulhadi Alrubaie 
2   Department of Surgery, Alkindy College of Medicine/University of Baghdad, University of Baghdad, Baghdad, Iraq
,
Raed Esttaifan Rezqallah 
2   Department of Surgery, Alkindy College of Medicine/University of Baghdad, University of Baghdad, Baghdad, Iraq
,
Maitham Kenber 
3   Vice President for Scientific Affaires, University of Al-Ameed, Karbala. Professor of Surgery, Departement of Surgery, University of Kufa, Iraq
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Abstract

It is uncertain whether terminal ileum intubation should be performed routinely during colonoscopy, as there is uncertainty regarding its diagnostic value. The aim of the present study is to assess the diagnostic yield of terminal ileum intubation during colonoscopy according to indications for colonoscopy. This is a cross-sectional study in which the results of 294 total colonoscopy procedures were reviewed; ileal intubation was performed in 269 (91.49%) patients. The indications for colonoscopy, the results of ileoscopy, and the histopathological results of ileal biopsies were evaluated.

A total of 54 (20%) out of 269 patients who had successful intubation into the terminal ileum showed macroscopic abnormalities on the terminal ileum. Biopsies were positive in 4 out of 54 (7.4%); all were of Crohn disease. Two were erosions (9.5%.) and 2 were ulcers (18.8%). The two erosions were presented as abdominal pain, abdominal pain and alternating bowel motion. Those with ulcers were presented with diarrhea and perianal disease.

Conclusions Considering the low diagnostic yield of ileal intubation during colonoscopy, the decision to perform ileoscopy or not during colonoscopy needs to be made on a case-by-case basis. However, routine ileal intubation, brief attempts should be considered despite low diagnostic yield.

Keywords

colonoscopy - terminal ileum - ileocecal intubation - Crohn's disease

Ethical Approval and Permission

Ethical permission was granted by the scientific committee in Gastroenterology and Hepatology Center.


Financial Support and Scholarship

None to declare




Publication History

Received: 13 June 2021

Accepted: 06 August 2021

Article published online:
07 March 2022

© 2022. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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