ArticleDigestive diseases and sciences2021
Clinical Course of Terminal Ileal Ulcers Observed Incidentally During Colonoscopy.
Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Terminal Ileal Ulcers: Endoscopic Predictors for the Later Development of Crohn's Disease.Diagnostics (Basel, Switzerland) · 2026Article
- Endoscopic assessment of terminal ileum in screening colonoscopy: is it worth the effort?Clinical endoscopy · 2025Article
- Terminal ileum in screening colonoscopy: routine practice or risk-stratified approach?Clinical endoscopy · 2025Article
- Clinical Characteristics and Etiology of Terminal Ileum Ulcers: A Retrospective Study.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024Article
- Diagnostic Value of Ileal Lesions Found during Colonoscopy with Reference to Endoscopic Indications and Findings.Journal of clinical medicine · 2024Article
- Terminal ileitis: Another Battle of Panipat or just a skirmish?Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023Article
- The efficacy of mesalazine on nonspecific terminal ileal ulcers: A randomized controlled trial.Frontiers in pharmacology · 2022Article
- 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
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCecal intubation is essential during colonoscopy, and observation of the terminal ileum is performed in most clinical practices. However, data on terminal ileal (TI) ulcers observed incidentally during colonoscopy are rare.
aimWe aimed to identify the characteristics and clinical course of TI ulcers observed incidentally during colonoscopy.
methodsBetween January 2008 and December 2018, medical records from multi-centers reporting asymptomatic subjects who underwent biopsy on TI ulcers during colonoscopy were retrospectively reviewed. The characteristics of endoscopic findings and clinical course of TI ulcers were analyzed, and the factors affecting the clinical course of TI ulcers were evaluated.
resultsThe median follow-up durations from first to second colonoscopy and from second to third colonoscopy were 20 months (interquartile range, 12-36) and 24 months (interquartile range, 12-34), respectively. A total of 134 subjects were included in the analysis. The histopathologic findings of TI ulcers were mostly chronic or active ileitis/inflammation (92.7%). On the second colonoscopy, 59 (44.0%) patients had no ulcers, 38 (28.4%) showed a decrease in size or number, and 37 (27.6%) patients showed no change in ulcers. Among 62 subjects who underwent a third colonoscopy, 14 (10.4%) had decreased size or number, 10 (7.5%) had no ulcer change, and two (1.5%) had increased ulcer size or number. In multivariate logistic regression analysis, a star shape was the only factor affecting continuation without improvement of incidental TI ulcers.
conclusionsMost TI ulcers observed incidentally showed no unusual findings on biopsy and improved on follow-up colonoscopy without treatment.
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