Document Detail

The strategy for biopsies of the terminal ileum should be evidence based.
MedLine Citation:
PMID:  17489785     Owner:  NLM     Status:  MEDLINE    
Ileocolonoscopy is regarded as the diagnostic procedure of choice for patients presenting with abdominal pain, chronic diarrhea, and suspicion of inflammatory bowel diseases. The widespread use of endoscopy has led to an increase of biopsies of the colon and terminal ileum. The diagnostic yield of biopsies of the terminal ileum is not established and is low in unselected patients. Retrospective studies have assessed the diagnostic value of these biopsies in comparison to the indication for ileoscopy and the endoscopic findings. The data suggest that biopsies of the terminal ileum are mainly helpful in patients with inflammatory diarrhea and/or suspected inflammatory bowel disease.
Karel Geboes
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Publication Detail:
Type:  Comment; Editorial    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  102     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-10     Completed Date:  2007-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1090-2     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Biopsy / methods*
Child, Preschool
Diagnosis, Differential
Endoscopy, Gastrointestinal / methods*
Evidence-Based Medicine
Intestinal Diseases / diagnosis*,  pathology
Middle Aged
Comment On:
Am J Gastroenterol. 2007 May;102(5):1084-9   [PMID:  17391315 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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