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