ArticleSurgical endoscopy2006
It is not worthwhile to perform ileoscopy on all patients.
Article in Surgical endoscopy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
17 citing papers in PubMed.
- Endoscopic assessment of terminal ileum in screening colonoscopy: is it worth the effort?Clinical endoscopy · 2025Article
- Terminal ileal intubation is not necessary in routine colonoscopy: data from a large-scale retrospective study.BMC gastroenterology · 2024Article
- Diagnostic Value of Ileal Lesions Found during Colonoscopy with Reference to Endoscopic Indications and Findings.Journal of clinical medicine · 2024Article
- Differential to Terminal Ileitis: Terminal Ileum Neuroendocrine Tumor Identified on Screening Colonoscopy.Ochsner journal · 2023Article
- Article
- Discrete terminal ileal ulcers in patients diagnosed with ulcerative colitis: clinical significance and natural course.BMC gastroenterology · 2021Article
- Can microscopic ileitis in patients with clinically suspected inflammatory bowel disease predict the future?BMC gastroenterology · 2020Article
- Analysis and Follow up of Endoscopy Results in 1099 Patients with Terminal Ileum Lesions.Canadian journal of gastroenterology & hepatology · 2020Article
- Facing Terminal Ileitis: Going Beyond Crohn's Disease.Gastroenterology research · 2016Review
- Diagnostic value of terminal ileum biopsies in patients with abnormal terminal ileum mucosal appearance.Ulusal cerrahi dergisi · 2015Article
- Patient-posture and Ileal-intubation during colonoscopy (PIC): a randomized controlled open-label trial.Endoscopy international open · 2014Article
- Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based Study.Gastroenterology research and practice · 2014Article
- How does a biopsy of endoscopically normal terminal ileum contribute to the diagnosis? Which patients should undergo biopsy?The Libyan journal of medicine · 2014Article
- New interpretation for diagnostic yield of ileoscopy: A prospective study and a brief review.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2009Article
- Routine ileal intubation during screening colonoscopy: a useful maneuver?Surgical endoscopy · 2008Article
- Canadian credentialing guidelines for colonoscopy.Canadian journal of gastroenterology = Journal canadien de gastroenterologie · 2008Article
- Impact of pediatric versus adult colonoscope on terminal ileum intubation: a retrospective study.Annals of gastroenterologyArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt remains controversial whether ileoscopy should be attempted in all patients. Although the ease of ileoscopy and the diagnostic yield have been well described, there have been no studies describing the value of the diagnostic yield in altering clinical management. We carried out a study to ascertain whether it is worthwhile to perform ileoscopy in all patients having a colonoscopy.
methodsWe carried out a retrospective study of all patients who had a colonoscopy between January 1, 2002, and December 31, 2003. The patient details, indications, findings, and complications of the procedure were recorded, together with the histopathology reports of colonic and terminal ileal biopsies. Clinical case note of patients with a positive diagnosis was reviewed to ascertain whether there was a change to the patient's management following an abnormal biopsy result.
resultsA total of 2,149 colonoscopies were performed. In 346 patients (16.1%), the terminal ileum was intubated. There were 16 abnormal findings on histology, which gave a diagnostic yield of 4.6% of all ileoscopies. A change to management occurred in only half of these patients.
conclusionIleoscopy should only be attempted in situations in which the indication is warranted and that would alter management. It is not cost-effective to carry out ileoscopy on all patients.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.