Endoscopy 2018; 50(04): S19-S20
DOI: 10.1055/s-0038-1637082
ESGE Days 2018 oral presentations
20.04.2018 – Small bowel
Georg Thieme Verlag KG Stuttgart · New York

ISOLATED TERMINAL ILEUM LESIONS SPOTTED DURING ROUTINE COLONOSCOPY

O Ilyés
1   Semmelweis University, 2nd Department of Medicine, Budapest, Hungary
2   UMF Targu Mures, Targu Mures, Romania
,
I Iozsef
1   Semmelweis University, 2nd Department of Medicine, Budapest, Hungary
2   UMF Targu Mures, Targu Mures, Romania
,
Z Péter
1   Semmelweis University, 2nd Department of Medicine, Budapest, Hungary
,
P Miheller
1   Semmelweis University, 2nd Department of Medicine, Budapest, Hungary
,
ÁV Patai
1   Semmelweis University, 2nd Department of Medicine, Budapest, Hungary
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

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Aims:

Isolated Terminal Ileum Lesions (ITIL) can occasionally be observed during routine endoscopic examination of the lower gastrointestinal tract, but the clinical significance, associated factors and treatment are unclear. The aim of the study was to assess the incidence, endoscopic findings, clinical features and treatment of Isolated Terminal Ileum Lesions found during endoscopic examination.

Methods:

Patients who underwent routine colonoscopic examination from January to December 2016 were screened for this study. Inclusion criteria were any terminal ileum lesion (hyperemia, erosion, ulcer, granulation) without any colonic findings.

Results:

93 (3.3%) patients from a total of 2762 had sole terminal ileaum lesions (mean age 41 years, 48% (45) male and 52% (48) female). 42 patients, those with Crohn's disease, celiac disease, Clostridium difficile infection and chronic non steroid anti-inflammatory drug use were excluded. From the remaining 52 (1,8%) patients 24 showed the macroscopic signs of hyperemia, 16 had erosions/ulcers and (or) 15 had granulations. 25 patients had diarrhea, abdominal pain and loss of weight. Only 7 patients were treated with various medicines (aminosalicylate, local steroid, antibiotics etc.).

Conclusions:

ITIL has a relatively rare incidence according to our database, but it can be occasionally found during routine endoscopic examination of the ileum, however the clinical importance and treatment of this condition is unclear. Further prospective studies are needed in this topic.