A PROSPECTIVE EVALUATION OF SUCCESSFUL TERMINAL ILEUM INTUBATION DURING ROUTINE COLONOSCOPY

被引：64

作者：

KUNDROTAS, LW ^{[1
]}

CLEMENT, DJ ^{[1
]}

KUBIK, CM ^{[1
]}

ROBINSON, AB ^{[1
]}

WOLFE, PA ^{[1
]}

机构：

[1] WILFORD HALL USAF MED CTR,PSMG,DEPT GASTROENTEROL,DIV MED,LACKLAND AFB,TX 78236

来源：

GASTROINTESTINAL ENDOSCOPY | 1994年 / 40卷 / 05期

关键词：

D O I：

10.1016/S0016-5107(94)70249-7

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

This study prospectively evaluated a dedicated effort to intubate the terminal ileum in an unselected population of patients undergoing colonoscopy in conjunction with our training program. The influence of the visual appearance of the terminal ileal mucosa on patient management was assessed subjectively. The cecum was reached in 270/295 (91%) patients, with successful terminal ileal intubation being accomplished in 213/270 (79%) examinations. The time required to intubate the terminal ileum (x = 3.4 minutes; range, 30 seconds to 10 minutes) was not significantly different (p < 0.05) between the several levels of training in our fellowship program. The terminal ileum was considered to be visually abnormal in 4 cases, but only 1 of these was abnormal on histologic examination. In this unselected population, routine ileoscopy was unrewarding for finding an incidental positive diagnosis; however, brief attempts at terminal ileal intubation may be useful to improve or maintain endoscopic skills, especially in a training setting.

引用

页码：544 / 546

页数：3