Ileoscopic diagnosis of malignant lymphoma of the small bowel in acquired immunodeficiency syndrome

Estrin, Howard M.; Farhi, Diane C.; Ament, Albert A.; Yang, Peter J.

doi:10.1016/s0016-5107(87)71650-2

Cited by 8 publications

(2 citation statements)

References 6 publications

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“…Endoscopic investigation of the TI is generally attempted in those patients for whom ileal visualization and tissue sampling are required. A dedicated effort to intubate the TI may be indicated to evaluate inflammatory bowel disease, to further characterize a specific abnormality found on barium contrast study, or to obtain tissue samples in cases of suspected inflammatory or infiltrative disease, especially in the immunocompromised host 8 . Examination of the TI is optional during routine colonoscopy, although some authors recommend ileal intubation in all cases if circumstances allow 9 .…”

Section: Introductionmentioning

confidence: 99%

“…A dedicated effort to intubate the TI may be indicated to evaluate inflammatory bowel disease, to further characterize a specific abnormality found on barium contrast study, or to obtain tissue samples in cases of suspected inflammatory or infiltrative disease, especially in the immunocompromised host. 8 Examination of the TI is optional during routine colonoscopy, although some authors recommend ileal intubation in all cases if circumstances allow. 9 In practice, the decision for ileal intubation is left to the endoscopist's discretion and depends on the indication, patient tolerance and difficulty of the examination.…”

Section: Introductionmentioning

confidence: 99%

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Variation in practice of ileal intubation among diverse endoscopy settings: results from a national endoscopic database

Harewood

Mattek

Holub

et al. 2005

Aliment Pharmacol Ther

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Summary Background: Terminal ileum intubation rates at colonoscopy are variable. One of the major indications for terminal ileum intubation is to identify Crohn's disease. Signs and symptoms which raise a suspicion of Crohn's include abdominal pain/bloating, anaemia and diarrhoea. Aim: To determine the proportion of terminal ileal intubation in patients undergoing evaluation of abdominal pain/bloating, anaemia or diarrhoea with normal endoscopic findings at colonoscopy. Methods: The Clinical Outcomes Research Initiative national endoscopic database was analysed to determine the proportion of terminal ileum intubation in patients undergoing evaluation of either abdominal pain/bloating, anaemia or diarrhoea with normal endoscopic findings at colonoscopy and to characterize this population of patients. Patients with known or suspected inflammatory bowel disease were excluded from the analysis. Results: Between January 2000 and December 2003, 21 638 patients underwent complete colonoscopy for evaluation of either abdominal pain/bloating, anaemia or diarrhoea with normal colon findings. Overall, 3858 patients (18%) underwent terminal ileum evaluation. Intubation rates differed according to procedure indication: abdominal pain (13%), anaemia (13%), diarrhoea (28%). Terminal ileum assessment declined with advancing patient age and was least frequent in Black patients (12% vs. 18% in non‐Blacks, P < 0.0001). Ileal intubation rates also varied among endoscopy site types: community (17%), academic (21%), Veterans Affairs Medical Centres (17%), P < 0.0001. Multiple logistic regression identified patients with the indication of diarrhoea (OR: 2.58) as more likely to undergo terminal ileum intubation when compared with those with abdominal pain/bloating. Patients in Veterans Affairs (OR: 1.26) and academic (OR: 1.29) sites were more likely to undergo terminal ileum intubation compared with community sites. Conclusion: Less than one‐fifth of patients with either abdominal pain/bloating, anaemia or diarrhoea underwent ileal intubation in the setting of a normal colonoscopy. Significant practice variation was observed in rates of terminal ileum evaluation. Further study is required to determine whether terminal ileum examination impacts patient management or outcome.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Variation in practice of ileal intubation among diverse endoscopy settings: results from a national endoscopic database

Harewood

Mattek

Holub

et al. 2005

Aliment Pharmacol Ther

View full text Add to dashboard Cite

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Primary stomal lymphoma. An unusual complication of ileostomy in a patient with transfusion-related acquired immune deficiency syndrome

Levecq

Hautefeuille

Hoang

et al. 1990

Cancer

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A 73-year-old heterosexual man developed a high-grade non-Hodgkin's lymphoma at the site of an ileostomy only 2 years after proctectomy for undetermined colitis not cured by previous colectomy. In fact, the early occurrence of this usually very late and rare complication of ileostomy was probably favored by the simultaneous presence of acquired immune deficiency syndrome (AIDS) due to repeated blood transfusions for refractory anemia with excess blasts. The intestinal location of the tumor, its high-grade malignancy and B-cell origin are all features of AIDS-related non-Hodgkin's lymphoma. This case report seems to be one of the rarely identified examples of the cooperation between general predisposing factors and local irritating agents at the origin of a malignant tumor.

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Alimentary tract cytopathology in human immunodeficiency virus infection: A review of experience in los angeles

Strigle

Gal

Martin

1990

Diagnostic Cytopathology

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In the past decade, over 100,000 cases of the acquired immunodeficiency syndrome (AIDS) have been reported in the United States. Conservative estimates suggest that 1.5 million people are infected with the human immunodeficiency virus (HIV), the etiologic agent of AIDS. Major metropolitan areas, such as Los Angeles, have experienced a rapid increase in the number of AIDS cases. At the Los Angeles County-University of Southern California Medical Center, we have gained significant insight into the cytologic findings associated with HIV infection. Based on our experience, we herein review the technical and morphologic evaluation of alimentary tract cytology specimens from this patient population.

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Ileoscopic diagnosis of malignant lymphoma of the small bowel in acquired immunodeficiency syndrome

Cited by 8 publications

References 6 publications

Variation in practice of ileal intubation among diverse endoscopy settings: results from a national endoscopic database

Variation in practice of ileal intubation among diverse endoscopy settings: results from a national endoscopic database

Primary stomal lymphoma. An unusual complication of ileostomy in a patient with transfusion-related acquired immune deficiency syndrome

Alimentary tract cytopathology in human immunodeficiency virus infection: A review of experience in los angeles

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