Management of Asymptomatic Terminal Ileitis

Author:

Donet Jean A1,Charabaty Aline2,Moss Alan C3

Affiliation:

1. Division of Gastroenterology, University of California San Francisco-Fresno, Fresno, California, USA

2. Division of Gastroenterology, Johns Hopkins School of Medicine, Sibley Memorial Hospital, Washington, District of Columbia, USA

3. Division of Gastroenterology, Boston University Medical Center, Boston, Massachusetts, USA

Abstract

Abstract Ileal intubation is often performed during screening colonoscopies. This had led to the recognition of mild ileitis in many asymptomatic patients. The natural history and clinical significance of this finding are not well established, and there are no guidelines on whether these patients merit further work-up or an interval surveillance colonoscopy. This conundrum was presented and discussed on @MondayNightIBD. In this article, we review the specific literature on the topic and make reference to the informed opinions of the convo participants. We propose an #IBDAlgorithm for management of asymptomatic ileitis.

Funder

Pfizer

Takeda Pharmaceuticals U.S.A.

Publisher

Oxford University Press (OUP)

Subject

Gastroenterology

Reference14 articles.

1. Terminal ileitis is not always Crohn’s disease;Bojic;Ann Gastroenterol.,2011

2. Current knowledge on non-steroidal anti-inflammatory drug-induced small-bowel damage: a comprehensive review;Watanabe;J Gastroenterol.,2020

3. Diagnostic yield of routine ileoscopy;Zwas;Am J Gastroenterol.,1995

4. Isolated terminal ileal ulcerations in asymptomatic individuals: natural course and clinical significance;Chang;Gastrointest Endosc.,2010

5. Isolated terminal ileal ulcer in asymptomatic patients: a call for prospective studies with long-term follow-up to determine the need for surveillance colonoscopy;Cappell;Gastrointest Endosc.,2011

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