Ileoscopy via stoma after diverting ileostomy: a safe and effective tool to evaluate for Crohn's recurrence of neoterminal ileum.

Digestive Diseases and Sciences
Narendra VadlamudiBo Shen

Abstract

Recurrence of Crohn's disease (CD) most commonly occurs in the neoterminal ileum near the stoma after fecal diverting ileostomy. Methods used to assess CD recurrence include small bowel series, ileostomy injection, computed tomography (CT) enterography, and capsule endoscopy. Retrograde ileoscopy via stoma is also a valuable tool for recognition of CD recurrence; however, this technique has not been formally studied. To evaluate the safety and utility of retrograde ileoscopy via stoma in patients with CD. Patients with CD who underwent ileoscopy via stoma between January 1, 2001, through December 31, 2008 were included. This was a retrospective study in a tertiary referral center. The main outcome measures were procedural complications and findings. A total of 243 ileoscopies were performed on 99 patients. The most common indications for ileoscopy were CD activity assessment in 34.5% and abdominal pain in 33.3%. The procedure was outpatient in 75.8%. Meperidine and midazolam were most commonly used. Average depth of intubation was 28.4 cm. CD recurrence was detected in 70% of patients. Biopsies were obtained during ileoscopy in 117 studies, and biopsy and ileoscopy findings correlated in 111 studies (94.8%). One polypectomy, 24...Continue Reading

References

Jul 1, 1991·Endoscopy·B BlombergG Järnerot
Oct 1, 1990·Gastroenterology·P RutgeertsM Hiele
Sep 1, 1987·Diseases of the Colon and Rectum·L ZilliL Bertario
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Nov 16, 2006·Diseases of the Colon and Rectum·Eiki NomuraTooru Shimosegawa

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Citations

Mar 26, 2015·Inflammatory Bowel Diseases·Preetika Sinh, Bo Shen
Jan 1, 2017·Gastroenterology Report·Vasutakarn ChongthammakunBo Shen
Mar 19, 2014·World Journal of Gastrointestinal Endoscopy·Tomoaki KonoTakayuki Matsumoto
May 4, 2018·Inflammatory Bowel Diseases·Xinying Wang, Bo Shen

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