ArticleSurgical endoscopy2008
Routine ileal intubation during screening colonoscopy: a useful maneuver?
Article in Surgical endoscopy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Prevalence and Progression of Incidental Terminal Ileitis on Non-diagnostic Colonoscopy: A Systematic Review and Meta-analysis.Journal of Crohn's & colitis · 2021Pooled it
- A randomized controlled trial of comparison on time and rate of cecal and termianl Ileal intubation according to adult-colonoscope length: intermediate versus long.Journal of Korean medical science · 2014Trial
- The prone 12 o'clock position reduces ileal intubation time during colonoscopy compared to the left lateral 6 o'clock (standard) position.BMC gastroenterology · 2011Trial
- Endoscopic assessment of terminal ileum in screening colonoscopy: is it worth the effort?Clinical endoscopy · 2025Article
- Endocuff-Assisted Colonoscopy for Identifying Sessile Serrated Polyps and Adenomas During Routine Colorectal Cancer Screening: A Retrospective Cohort Study.JGH open : an open access journal of gastroenterology and hepatology · 2025Article
- Diagnostic Value of Ileal Lesions Found during Colonoscopy with Reference to Endoscopic Indications and Findings.Journal of clinical medicine · 2024Article
- Article
- 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
- An incidentaloma at ileal intubation.World journal of gastrointestinal endoscopy · 2011Article
- Isolated nonspecific terminal ileitis: prevalence, clinical evolution and correlation with metachronous diagnosis of Crohn's disease: a retrospective study and review of the literature.Annals of gastroenterologyArticle
- Is routine terminal ileum intubation justified during screening colonoscopy? Evidence from a regional screening program.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologieArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe utility of routine ileoscopy as a component of screening colonoscopy is unclear. Many endoscopists believe that routine intubation of the terminal ileum is a requirement for a full-screening colonoscopy. The authors have hypothesized that routine ileal intubation during screening colonoscopy is of little diagnostic value.
methodsA retrospective analysis was performed using a prospectively maintained colonoscopy database of patients identified as undergoing a screening colonoscopy. All had undergone intubation of the terminal ileum at a tertiary referral center. Those who had undergone screening colonoscopy at the Mayo Clinic (Rochester, MN) were entered prospectively into a database. The study identified 6,408 patients who met the criteria of having terminal ileal intubation at the time of screening colonoscopy. The main outcome measured was abnormality of the terminal ileum at ileal intubation.
resultsIleoscopy showed grossly abnormal findings for only 1% of the patients, and pathologic abnormalities were identified for only 0.3% of all the patients.
conclusionsThe findings support the conclusion that intubation of the terminal ileum should not be a required part of screening colonoscopy.
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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.