Skip to main content
SpringerLink
Log in
Book cover

Ileoscopy pp 13–19Cite as

What are the Correct Indications for Ileoscopy?

  • Chapter
  • First Online:

  • 541 Accesses

Abstract

The visualization and exploration of the terminal ileum was first described by Nagasako in 1972. Terminal ileoscopy (TI) is currently the only in best evidence of a well-performed total colonoscopy and the ability to perform the procedure is an essential step in becoming a proficient colonoscopist. TI also allows the diagnosis of many diseases of the gut. The published success rate of TI during colonoscopy is 74–100% in different series. The question whether it should be performed routinely or only in case of certain clinical conditions is still a matter of debate. The contribution of TI in diagnosing a wide spectrum of inflammatory bowel and infectious diseases is particularly important, such as in clinical conditions manifesting as diarrhea, right lower abdominal quadrant pain, anemia, suspicious imaging findings, or a family history of inflammatory bowel disease. In addition, TI plays an important role in the decision whether to perform other imaging procedures, such as capsule endoscopy or enteroscopy, for a definitive diagnosis when there is evidence of bowel disease. While the results obtained with emerging technologies have been promising, they remain to be validated in clinical practice. A well-performed ileoscopy represents the best method to correctly select those patients who would most benefit from further investigation, and it offers a fast-track approach to diseases of the gut.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Nagasako K, Yazawa C, Takemoto T (1972) Biospy of the terminal ileum. Gastrointest Endosc 19:7–10

    Article  PubMed  CAS  Google Scholar 

  2. Ansari A, Soon SY, Saunders BP et al (2003) A prospective study of the technical feasibility of ileoscopy at colonoscopy. Scand J Gastroenterol 38:1184–1186

    Article  PubMed  CAS  Google Scholar 

  3. Zwas FR, Bonheim NA, Berken CA et al (1995) Diagnostic yield of routine ileoscopy. Am J Gastroenterol 90:1441–1443

    PubMed  CAS  Google Scholar 

  4. Kundrotas LW, Clement DJ, Kubik CM et al (1994) A prospective evaluation of successful terminal ileum intubation during routine colonoscopy. Gastrointest Endosc 40:544–546

    Article  PubMed  CAS  Google Scholar 

  5. Cherian S, Singh P (2004) Is routine ileoscopy useful? An observational study of procedure times, diagnostic yield nad learning curve. Am J Gastroenterol 99:2324–2329

    Article  Google Scholar 

  6. Iacopini G, Frontespezi S, Vitale MA, Villotti G, Bella A, D’Alba L, De Cesare A, Iacopini F (2006) Routine ileoscopy at colonoscopy: a prospective evaluation of learning curve and skill-keeping line. Gastrointest Endosc 63:250–256

    Article  PubMed  Google Scholar 

  7. Geboes K (2007) The strategy for biopsies of the terminal ileum should be evidence based. Am J Gastroenterol 102:1090–1092

    Article  PubMed  Google Scholar 

  8. Borsch G, Schmidt G (1985) Endoscopy of the terminal ileum. Diagnostic yield in 400 consecutive examinations. Dis Colon Rectum 28:499–501

    Article  PubMed  CAS  Google Scholar 

  9. Israel DM, McLain BI, Hassall E (1994) Successful pancolonoscopy and ileoscopy in children. J Pediatr Gastroenterol Nutr 19:283–289

    Article  PubMed  CAS  Google Scholar 

  10. Marshall JB, Barthel JS (1993) The frequency of total colonoscopy and terminal ileum intubation in 1990s. Gastrointest Endosc 39:518–520

    Article  PubMed  CAS  Google Scholar 

  11. Bernstein C, Thom M, Monsees K et al (2005) A prospective study of factors that determine cecal intubation time at colonoscopy. Gastrointest Endosc 61:72–75

    Article  PubMed  Google Scholar 

  12. Working Party of the British Society of Gastroenterology Endoscopy Committee (2001) Provision of endoscopy related services in district general hospitals, working party report. London

    Google Scholar 

  13. Yoong KKY, Heymann T (2006) It is not worthwhile to perform ileoscopy on all patients. Surg Endosc 20:809–811

    Article  PubMed  CAS  Google Scholar 

  14. Biancone L, Calabrese E, Palmieri G, Petruzziello C, Onali S, Sigismondo Sica G, Cossignani M, Condino G, Das KM, Pallone F (2008) Ileal Lesions in patients with ulcerative colitis after ileorectal anastomosis: relationship with colonic metaplasia. WJG 14:5290–5300

    Article  PubMed  Google Scholar 

  15. Jeong SH, Lee KJ, Kim YB, Kwon HC, Sin SJ, Chung JY (2007) Diagnostic value of terminal ileum intubation during colonoscopy. J Gastroenterol Hepatol 23:51–55

    Article  Google Scholar 

  16. Kennedy G, Larson D, Wolff B, Winter D, Petersen B, Larson M (2008) Routine ileal intubation during screening colonoscopy: a useful maneuver? Surg Endosc 22:2606–2608

    Article  PubMed  Google Scholar 

  17. Bhasin DK, Goenka MK, Dhavan S, Dass K, Singh K (2000) Diagnostic value of ileoscopy. A report from India. J Clin Gastroenterol 31:144–146

    Article  PubMed  CAS  Google Scholar 

  18. Geboes K, Ectors N, D’Haens G et al (1998) Is ileoscopy with biopsy worthwhile in patients presenting with symptoms of IBD. Am J Gastroenterol 93:201–206

    Article  PubMed  CAS  Google Scholar 

  19. Coremans G, Rutgeerts P, Geboes K et al (1984) The value of ileoscopy with biopsy in the diagnosis of intestinal Crohn’s disease. Gastrointest Endosc 30:167–172

    Article  PubMed  CAS  Google Scholar 

  20. Fireman Z, Kopelman Y (2008) Small Bowel Capsule Endoscopy: have we conquered the last frontier? IMAJ 10:298–301

    PubMed  Google Scholar 

  21. Byrne MF, Power DG, Keeling AN, Kay E, Murray FE, Patchett SE (2004) Combined terminal ileoscopy and biopsy is superior to small bowel follow-through in detecting terminal ileal pathology. Dig Liver Dis 36:147–152

    Article  PubMed  CAS  Google Scholar 

  22. Hara AK, Leighton JA, Heigh RI, Sharma VK, Silva AC, De Petris G, Hentz JG, Fleischer DE (2006) Crohn disease of the small bowel: preliminary comparison among ct enterography, capsule endoscopy, small-bowel follow through and ileoscopy. Radiology 238:128–134

    Article  PubMed  Google Scholar 

  23. McHugh JB, Appelman HD, McKenna BJ (2007) The diagnostic value of endoscopic terminal ileum biopsies. Am J Gastroenterol 102:1084–1089

    Article  PubMed  Google Scholar 

  24. Shah RJ, Fenoglio-Preiser C, Bleau BL et al (2001) Usefulness of colonoscopy with biopsy in the evaluation of patients with chronic diarrhea. Am J Gastroenterol 96:1091–1095

    Article  PubMed  CAS  Google Scholar 

  25. Sultan S, Mitchell RM (2004) The importance of ileoscopy in suspected small bowel disease. Eur J Gastroenterol Hepatol 16:359

    Article  PubMed  Google Scholar 

  26. Morini S, Lorenzetti R, Stella F et al (2003) Retrograde ileoscopy in chronic nonbloody diarrhea: a prospective case-control study. Am J Gastroenterol 98:1512–1515

    Article  PubMed  Google Scholar 

  27. Sato S, Yao K, Yao T, Schlemper RJ, Matsui T, Sakurai T, Iwashita A (2004) Colonoscopy in the diagnosis of intestinal tubercolosis in asymptomatic patients. Gastrointest Endosc 59:362–368

    Article  PubMed  Google Scholar 

  28. Misra SP, Misra V, Dwivedi M (2007) Ileoscopy in patients with ileocolonic tubercolosis. WJG 13:1723–1727

    PubMed  CAS  Google Scholar 

  29. Misra SP, Dwivedi M, Misra V (2006) Ileoscopy in 39 hematochezia patients with normal colonoscopy. WJG 12:3102–3104

    Google Scholar 

  30. Tanaka S, Kaltenbach T, Chayama K et al (2006) High-magnification colonoscopy. Gastrointest Endosc 64:604–613

    Article  PubMed  Google Scholar 

  31. Technology Commitee ASGE (2009) Technology status evaluation report on high-resolution and high-magnification endoscopes. Gastrointest Endosc 69:399–407

    Article  Google Scholar 

  32. Siegel LM, Stevens PD, Lightdale CJ et al (1997) Combined magnification endoscopy with chromoendoscopy in the evaluation of patients with suspected malabsorption. Gastrointest Endosc 46:226–230

    Article  PubMed  CAS  Google Scholar 

  33. Cammarota G, Martino A, Pirozzi GA et al (2004) Direct visualization of intestinal villi by high-resolution magnifying upper endoscopy: a validation study. Gastrointest Endosc 60:732–738

    Article  PubMed  Google Scholar 

  34. Trecca A, Gaj F, Gagliardi G, Calcaterra R, Battista S, Silano M (2008) Role of magnified ileoscopy in the diagnosis of cases of coeliac disease with predominant abdominal symptoms. Scand J Gastroenterol 44:320–324

    Article  Google Scholar 

  35. Dionisio PM, Gurudu SR, Leighton JA, Leontiadis GI, Fleischer DE, Hara AK, Heigh RI, Shiff AD, Sharma VK (2010) Capsule endoscopy has a significantly higher diagnostic yield in patients with suspected and established small-bowel Crohn’s disease: a meta-analysis. Am J Gastroenterol 105:1240–1248

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Endoscopic and Operative Gastroenterology Units, USI Group, Rome, Italy

    Antonello Trecca

  2. General Surgery University “La Sapienza”, Viale del Policlinico, 155, 00185, Rome, Italy

    Fabio Gaj

  3. Endoscopic and Operative Gastroenterology Units, USI Group, Via Baccina, 45, 00198, Rome, Italy

    Stefano Serafini

  4. Department of Operative Endoscopy, Saint Mary Hospital, Viale Tristano di Joannuccio, 1, 05100, Terni, Italy

    Gabriele Marinozzi

  5. Division of Food Science, Human Nutrition and Health, Istituto Superiore di Sanità, Via Regina Elena, 00185, Rome, Italy

    Marco Silano

Authors
  1. Antonello Trecca
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Fabio Gaj
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Stefano Serafini
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gabriele Marinozzi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Marco Silano
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Antonello Trecca .

Editor information

Editors and Affiliations

  1. , Endosc.+Operat. Gastroenterol. Unit, USI Group, Via Baccina 45, Roma, 00184, Italy

    Antonello Trecca

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Italy

About this chapter

Cite this chapter

Trecca, A., Gaj, F., Serafini, S., Marinozzi, G., Silano, M. (2012). What are the Correct Indications for Ileoscopy?. In: Trecca, A. (eds) Ileoscopy. Springer, Milano. https://doi.org/10.1007/978-88-470-2345-1_3

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2345-1_3

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2344-4

  • Online ISBN: 978-88-470-2345-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation