The necessity of routine terminal ileum intubation in patients undergoing routine colonoscopy: Is it a must?

Yıl 2025, Cilt: 2 Sayı: 1, 21 - 25, 15.02.2025

Furkan Turkoglu , Emre Erdogan

https://doi.org/10.70058/cjm.1531915

Öz

Objectives
Terminal ileal intubation (TIE) is a useful procedure during colonoscopy, but its clinical value is controversial in the literature. The aim of this study is to investigate the necessity of terminal ileal intubation during colonoscopy in patients not suspected of having inflammatory bowel disease.
Methods
This study was conducted by retrospectively reviewing data from 872 colonoscopies. Patients with inflammatory bowel disease and those with inadequate bowel preparation were excluded from the study. The demographic data of the patients, colonoscopy results, macroscopic and microscopic findings, and complications were recorded.
Results
The average age of the 763 patients included in the study was 53.26±23.82 years, with 429 (56.22%) male and 334 (43.78%) female patients. A total of 107 patients (14.02%) underwent TIE. Of the 107 patients who underwent TIE, 56 (52.33%) were female, and 51 (47.67%) were male, with an average age of 49.52±21.69 years. The colonoscopy indications for patients who underwent TIE were diarrhea in 46 patients, rectal bleeding in 38 patients, and abdominal pain in 23 patients. Macroscopic pathological findings were observed in 8 patients (7.46%), and microscopic pathological findings in 3 patients (2.80%). The proportion of patients with microscopic pathological findings accounted for 0.39% of all colonoscopies.
Conclusions
Our study suggests that while TIE, which requires experience and extends the duration of colonoscopy, may be beneficial for the diagnosis of selected patients, it may not be necessary in routine colonoscopies given its very low diagnostic value.

Anahtar Kelimeler

Colonoscopy, Terminal Ileum, Inflammatory Bowel Disease

Etik Beyan

This study was approved by the non-invasive clinical studies ethics committee of Istanbul Training and Research Hospital. (No: 56)

Rutin kolonoskopi uygulanan hastalarda rutin terminal ileum entübasyonunun gerekliliği: Zorunlu mudur?

Öz

Kaynakça

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