DIAGNOSTIC YIELD AND USEFULNESS OF TERMINAL ILEAL INTUBATION IN ASYMPTOMATIC PATIENTS UNDERGOING COLONOSCOPY FOR COLORECTAL CANCER SCREENING OR POST-POLYPECTOMY SURVEILLANCE: A SYSTEMATIC REVIEW AND M
6 hours ago
- #terminal ileal intubation
- #colonoscopy
- #Crohn's disease
- Terminal ileal intubation (TII) in asymptomatic patients undergoing colonoscopy for colorectal cancer (CRC) screening or post-polypectomy surveillance has a low diagnostic yield.
- The pooled overall diagnostic yield for any ileal finding was 1.74%, with clinically significant pathology found in only 0.28% of cases.
- The yield for detecting Crohn's disease was very low at 0.1%, equating to one case per 1000 ileoscopies.
- Most abnormalities detected were non-specific and did not require clinical action.
- The study concludes that routine TII in asymptomatic patients provides negligible clinical benefit and is not supported by the findings.