Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based Study
Introduction. Available evidence for routine terminal ileoscopy during colonoscopy is equivocal. We investigated the place of routine terminal ileoscopy and biopsy during colonoscopy, in a tropical setting. Materials and Methods. All consenting adults undergoing colonoscopy had routine TI and biopsy...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/343849 |
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| author | Hasitha Srimal Wijewantha Arjuna Priyadarsin de Silva Madunil Anuk Niriella Nethini Wijesinghe Prabahvi Waraketiya Ravindu Sujeewa Kumarasena Anuradha Supun Dassanayake Janaki de Silva Hewawisenthi Hithanadura Janaka de Silva |
| author_facet | Hasitha Srimal Wijewantha Arjuna Priyadarsin de Silva Madunil Anuk Niriella Nethini Wijesinghe Prabahvi Waraketiya Ravindu Sujeewa Kumarasena Anuradha Supun Dassanayake Janaki de Silva Hewawisenthi Hithanadura Janaka de Silva |
| author_sort | Hasitha Srimal Wijewantha |
| collection | DOAJ |
| description | Introduction. Available evidence for routine terminal ileoscopy during colonoscopy is equivocal. We investigated the place of routine terminal ileoscopy and biopsy during colonoscopy, in a tropical setting. Materials and Methods. All consenting adults undergoing colonoscopy had routine TI and biopsy. Patients with right iliac fossa (RIF) pain, diarrhoea, anaemia, suspected inflammatory bowel disease (IBD), and raised inflammatory markers were defined as Group A and all others undergoing colonoscopy as Group B. Results. Caecal intubation and TI were achieved in 988/1096 (90.15%) and 832/1096 (75.9%) cases, respectively. 764/832(91.8%) patients were included in final analysis. 81/764 (10.6%) patients had either macroscopic (34/81) or microscopic (47/81) abnormalities of terminal ileum; 20/81 had both. These were CD (28/47), tuberculosis (TB) (6/47), ileitis due to resolving infection (8/47), and drug-induced ileitis (5/47). 27/81 with macroscopically normal ileum had CD (18/27), ileitis due to resolving infection (5/27) and drug-induced ileitis (4/27) on histology. 12/764 (1.57%) patients with macroscopically normal colon had ileal CD (8/12), drug-induced ileitis (2/12), and resolving ileal infection (2/12) on histology. 47/764 (6.15%) patients had ileal pathology that influenced subsequent management. These were significantly higher in Group A (43/555 (8%)) than in Group B (4/209 (1.9%)) (P=0.0048, χ2=7.968).
Conclusion. TI and biopsy improve diagnostic yield of colonoscopy in patients with RIF pain, diarrhoea, anaemia, suspected IBD, and raised inflammatory markers. |
| format | Article |
| id | doaj-art-1ce5881c249640e8b1ba59cc2d17ed6c |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
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| series | Gastroenterology Research and Practice |
| spelling | doaj-art-1ce5881c249640e8b1ba59cc2d17ed6c2025-02-03T01:09:31ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/343849343849Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based StudyHasitha Srimal Wijewantha0Arjuna Priyadarsin de Silva1Madunil Anuk Niriella2Nethini Wijesinghe3Prabahvi Waraketiya4Ravindu Sujeewa Kumarasena5Anuradha Supun Dassanayake6Janaki de Silva Hewawisenthi7Hithanadura Janaka de Silva8University Medical Unit, Colombo North Teaching Hospital, 11010 Ragama, Sri LankaUniversity Medical Unit, Colombo North Teaching Hospital, 11010 Ragama, Sri LankaUniversity Medical Unit, Colombo North Teaching Hospital, 11010 Ragama, Sri LankaUniversity Medical Unit, Colombo North Teaching Hospital, 11010 Ragama, Sri LankaUniversity Medical Unit, Colombo North Teaching Hospital, 11010 Ragama, Sri LankaUniversity Medical Unit, Colombo North Teaching Hospital, 11010 Ragama, Sri LankaDepartment of Pharmacology, Faculty of Medicine, University of Kelaniya, 11010 Ragama, Sri LankaDepartment of Pathology, Faculty of Medicine, University of Kelaniya, 11010 Ragama, Sri LankaUniversity Medical Unit, Colombo North Teaching Hospital, 11010 Ragama, Sri LankaIntroduction. Available evidence for routine terminal ileoscopy during colonoscopy is equivocal. We investigated the place of routine terminal ileoscopy and biopsy during colonoscopy, in a tropical setting. Materials and Methods. All consenting adults undergoing colonoscopy had routine TI and biopsy. Patients with right iliac fossa (RIF) pain, diarrhoea, anaemia, suspected inflammatory bowel disease (IBD), and raised inflammatory markers were defined as Group A and all others undergoing colonoscopy as Group B. Results. Caecal intubation and TI were achieved in 988/1096 (90.15%) and 832/1096 (75.9%) cases, respectively. 764/832(91.8%) patients were included in final analysis. 81/764 (10.6%) patients had either macroscopic (34/81) or microscopic (47/81) abnormalities of terminal ileum; 20/81 had both. These were CD (28/47), tuberculosis (TB) (6/47), ileitis due to resolving infection (8/47), and drug-induced ileitis (5/47). 27/81 with macroscopically normal ileum had CD (18/27), ileitis due to resolving infection (5/27) and drug-induced ileitis (4/27) on histology. 12/764 (1.57%) patients with macroscopically normal colon had ileal CD (8/12), drug-induced ileitis (2/12), and resolving ileal infection (2/12) on histology. 47/764 (6.15%) patients had ileal pathology that influenced subsequent management. These were significantly higher in Group A (43/555 (8%)) than in Group B (4/209 (1.9%)) (P=0.0048, χ2=7.968). Conclusion. TI and biopsy improve diagnostic yield of colonoscopy in patients with RIF pain, diarrhoea, anaemia, suspected IBD, and raised inflammatory markers.http://dx.doi.org/10.1155/2014/343849 |
| spellingShingle | Hasitha Srimal Wijewantha Arjuna Priyadarsin de Silva Madunil Anuk Niriella Nethini Wijesinghe Prabahvi Waraketiya Ravindu Sujeewa Kumarasena Anuradha Supun Dassanayake Janaki de Silva Hewawisenthi Hithanadura Janaka de Silva Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based Study Gastroenterology Research and Practice |
| title | Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based Study |
| title_full | Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based Study |
| title_fullStr | Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based Study |
| title_full_unstemmed | Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based Study |
| title_short | Usefulness of Routine Terminal Ileoscopy and Biopsy during Colonoscopy in a Tropical Setting: A Retrospective Record-Based Study |
| title_sort | usefulness of routine terminal ileoscopy and biopsy during colonoscopy in a tropical setting a retrospective record based study |
| url | http://dx.doi.org/10.1155/2014/343849 |
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