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Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting : A Retrospective Record-Based Study
Joint Authors
Kumarasena, Ravindu Sujeewa
de Silva, Arjuna Priyadarsin
Niriella, Madunil Anuk
Dassanayake, Anuradha Supun
Waraketiya, Prabahvi
Wijewantha, Hasitha Srimal
Hewawisenthi, Janaki de Silva
de Silva, Hithanadura Janaka
Wijesinghe, Nethini
Source
Gastroenterology Research and Practice
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-01-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Available evidence for routine terminal ileoscopy during colonoscopy is equivocal.
We investigated the place of routine terminal ileoscopy and biopsy during colonoscopy, in a tropical setting.
Materials and Methods.
All consenting adults undergoing colonoscopy had routine TI and biopsy.
Patients with right iliac fossa (RIF) pain, diarrhoea, anaemia, suspected inflammatory bowel disease (IBD), and raised inflammatory markers were defined as Group A and all others undergoing colonoscopy as Group B.
Results.
Caecal intubation and TI were achieved in 988/1096 (90.15%) and 832/1096 (75.9%) cases, respectively.
764/832(91.8%) patients were included in final analysis.
81/764 (10.6%) patients had either macroscopic (34/81) or microscopic (47/81) abnormalities of terminal ileum; 20/81 had both.
These were CD (28/47), tuberculosis (TB) (6/47), ileitis due to resolving infection (8/47), and drug-induced ileitis (5/47).
27/81 with macroscopically normal ileum had CD (18/27), ileitis due to resolving infection (5/27) and drug-induced ileitis (4/27) on histology.
12/764 (1.57%) patients with macroscopically normal colon had ileal CD (8/12), drug-induced ileitis (2/12), and resolving ileal infection (2/12) on histology.
47/764 (6.15%) patients had ileal pathology that influenced subsequent management.
These were significantly higher in Group A (43/555 (8%)) than in Group B (4/209 (1.9%)) (P=0.0048, χ2=7.968).
Conclusion.
TI and biopsy improve diagnostic yield of colonoscopy in patients with RIF pain, diarrhoea, anaemia, suspected IBD, and raised inflammatory markers.
American Psychological Association (APA)
Wijewantha, Hasitha Srimal& de Silva, Arjuna Priyadarsin& Niriella, Madunil Anuk& Wijesinghe, Nethini& Waraketiya, Prabahvi& Kumarasena, Ravindu Sujeewa…[et al.]. 2014. Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting : A Retrospective Record-Based Study. Gastroenterology Research and Practice،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-464430
Modern Language Association (MLA)
Wijewantha, Hasitha Srimal…[et al.]. Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting : A Retrospective Record-Based Study. Gastroenterology Research and Practice No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-464430
American Medical Association (AMA)
Wijewantha, Hasitha Srimal& de Silva, Arjuna Priyadarsin& Niriella, Madunil Anuk& Wijesinghe, Nethini& Waraketiya, Prabahvi& Kumarasena, Ravindu Sujeewa…[et al.]. Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting : A Retrospective Record-Based Study. Gastroenterology Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-464430
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464430