scholarly journals Clinical Yield of Ileal Intubation During Screening Colonoscopy

Cureus ◽  
2022 ◽  
Author(s):  
Amer A Alkhatib ◽  
Shiva Kumar
2019 ◽  
Vol 2019 ◽  
pp. 1-21
Author(s):  
Shou-jiang Tang ◽  
Ruonan Wu

For gastrointestinal endoscopists, the ileocecum is the finishing line during colonoscopy and it is identified by three endoscopic landmarks: terminal ileum, ileocecal valve, and the appendiceal orifice. Although ileal intubation is recommended during routine screening colonoscopy, it is not required in most cases of screening colonoscopy. Ileal intubation is indicated in certain circumstances such as suspected inflammatory bowel disease and GI bleeding. There is much pathology that can be observed within the ileocecum. Careful and systematic examination should be stressed during GI endoscopic training and practice. In this review, the authors demonstrate its anatomy, endoscopic findings, and pathologies.


2009 ◽  
Vol 104 (12) ◽  
pp. 3114-3115 ◽  
Author(s):  
Joseph C. Yarze ◽  
Kevin J. Herlihy ◽  
John M. Coombes ◽  
William M. Bauer ◽  
Howard P. Fritz ◽  
...  

2014 ◽  
Vol 86 (1) ◽  
pp. 49
Author(s):  
Eun Hee Kim ◽  
Rae Seok Lee ◽  
Joo Yeun Hu ◽  
Yoon Seok Choi ◽  
Gyo Hui Kim ◽  
...  

2008 ◽  
Vol 22 (12) ◽  
pp. 2606-2608 ◽  
Author(s):  
Gregory Kennedy ◽  
David Larson ◽  
Bruce Wolff ◽  
Desmond Winter ◽  
Bret Petersen ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Martin Buerger ◽  
Philipp Kasper ◽  
Gabriel Allo ◽  
Johannes Gillessen ◽  
Christoph Schramm

Abstract Background High cecal intubation rate (CIR) is associated with significant improved adenoma detection rate (ADR), however, self-reported CIR may be overestimated and inadequate documentation of cecal intubation is associated with a lower polyp detection rate compared to clear documentation. We aimed to investigate if ileal intubation may be associated with higher detection rates (DR) for right-sided conventional adenomas (cAD) and serrated polyps (SP) compared to cecal intubation in a large screening colonoscopy cohort. Material and methods Retrospective analysis of individuals ≥50 years with average risk for colorectal cancer (CRC) who underwent screening colonoscopy between 01/01/2012 and 14/12/2016 at a tertiary academic hospital and six community-based private practices. Exclusion criteria were conditions with increased risk for CRC (e.g. inflammatory bowel disease, history of CRC, hereditary cancer syndromes), previous colonoscopy at the same institution, and incomplete procedures. Right-sided colon was defined as caecum and ascending colon. Results 4.138 individuals were analysed (mean age 62 years, 52.1% female). DR for right-sided cADs and SPs were significantly higher after ileal compared to cecal intubation in univariate (12.5% vs. 6.8%, p < 0.001, and 6.3% vs. 3.3%, p < 0.001), but not in multivariate analysis (OR 1.025, 95%-CI 0.639–1.646, p = 0.918, and OR 0.937, 95%-CI 0.671–1.309, p = 0.704). DRs did not differ between ileal and cecal intubation for endoscopists with ADR ≥25 and < 25%, respectively. ADR ≥25% was significantly associated with ileal intubation (OR 21.862, 95%-CI 18.049–26.481, p < 0.001). Conclusion Ileal intubation may not provide any benefit over cecal intubation concerning the detection of cADs and SPs in the right-sided colon.


2011 ◽  
Vol 49 (05) ◽  
Author(s):  
C Bannert ◽  
K Reinhart ◽  
D Dunkler ◽  
M Trauner ◽  
W Weiss ◽  
...  

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