Terminal ileal photography or biopsy to verify total colonoscopy: does the endoscope agree with the microscope?

Powell, Nick; Hayee, Bu; Yeoh, David P.K.; Rowbotham, David; Saxena, Vishal; McNair, Alistair

doi:10.1016/j.gie.2007.02.039

Cited by 25 publications

(21 citation statements)

References 20 publications

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“…Intubation of the terminal ileum was confirmed with photographic documentation of apparent villi in the terminal ileum by water-filling or using the narrow-band imaging method (Fig. 3C, D) (24). The cases in which the terminal ileum could not be intubated were not included in the analysis of TIIT.…”

Section: Methodsmentioning

confidence: 99%

A Randomized Controlled Trial of Comparison on Time and Rate of Cecal and Termianl Ileal Intubation according to Adult-Colonoscope Length: Intermediate versus Long

Kim

Lee

et al. 2014

J Korean Med Sci

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For a complete colonoscopic examination, a high intubation rate and a short intubation time have been demanded to colonoscopists, if possible. The aim of the present study was to compare these examination parameters, intubation time and rate, according to the length of colonoscope. A total of 507 healthy Korean subjects were randomly assigned into two groups: intermediate length adult-colonoscope (n=254) and long length adult-colonoscope (n=253). There were significant differences in cecal intubation time and in terminal ileal intubation rate according to the length of the colonoscope. Time-to-cecal intubation was shorter for the intermediate-scope group than for the long-scope group (234.2 ± 115.0 sec vs 280.7 ± 135.0 sec, P < 0.001). However, the success rate of terminal ileal intubation was higher in the long-scope group than in the intermediate-scope group (95.3% vs 84.3%, P < 0.001). There were no significant differences in other colonoscopic parameters between the two groups. The intermediate length adult-colonoscope decreased the time to reach the cecum, whereas the long-scope showed a success rate of terminal ileal intubation. These findings suggest that it is reasonable to prepare and use these two types of colonoscope appropriate to the needs of the patient and examination, instead of employing only one type of colonoscope.

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Section: Methodsmentioning

confidence: 99%

A Randomized Controlled Trial of Comparison on Time and Rate of Cecal and Termianl Ileal Intubation according to Adult-Colonoscope Length: Intermediate versus Long

Kim

Lee

et al. 2014

J Korean Med Sci

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“…Other investigators have come to similar conclusions [2,19,20] and multiple images as confirmatory documentation is probably the most commonly used method in the UK. Videotaping of the caecum has also been found to be reliable [6] but the logistics involved in storing and accessing video information makes this method impractical at present [18]. Our data suggest that routine or enhanced ileal photographs alone are not enough to document colonoscopy as complete.…”

Section: Guidelines Issued By the Joint Advisory Group Onmentioning

confidence: 79%

“…Powell et al [18] recently suggested that terminal ileal photography is an effective and safe means of documenting total colonoscopy while confirming the low diagnostic yield of routine terminal ileal biopsies. These favourable results are almost certainly because of their use of water immersion and their attempt to demonstrate villi in all photographs by immersing the colonoscope tip within the pool of water.…”

Section: Guidelines Issued By the Joint Advisory Group Onmentioning

confidence: 98%

Direct photographic documentation of ileal mucosa in routine colonoscopy is not an independent valid or reliable proof of completion: quality assurance issues for the national colorectal cancer‐screening programme

et al. 2008

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“…Photodocumenting cecal intubation includes taking photos of the appendiceal orifice, base of the cecum, ileo-cecal valve, and terminal ileum. This is critical to ensuring that the entire colon has been traversed and visualized [9]. It is important to take an adequate amount of time to examine the colon during scope withdrawal.…”

Section: Colonoscopy Quality Metricsmentioning

confidence: 99%

Can Technology Improve the Quality of Colonoscopy?

Thirumurthi

Ross

Raju

2016

Curr Gastroenterol Rep

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In order for screening colonoscopy to be an effective tool in reducing colon cancer incidence, exams must be performed in a high-quality manner. Quality metrics have been presented by gastroenterology societies and now include higher adenoma detection rate targets than in the past. In many cases, the quality of colonoscopy can often be improved with simple low-cost interventions such as improved procedure technique, implementing split-dose bowel prep, and monitoring individuals' performances. Emerging technology has expanded our field of view and image quality during colonoscopy. We will critically review several technological advances in the context of quality metrics and discuss if technology can really improve the quality of colonoscopy.

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Terminal ileal photography or biopsy to verify total colonoscopy: does the endoscope agree with the microscope?

Cited by 25 publications

References 20 publications

A Randomized Controlled Trial of Comparison on Time and Rate of Cecal and Termianl Ileal Intubation according to Adult-Colonoscope Length: Intermediate versus Long

A Randomized Controlled Trial of Comparison on Time and Rate of Cecal and Termianl Ileal Intubation according to Adult-Colonoscope Length: Intermediate versus Long

Direct photographic documentation of ileal mucosa in routine colonoscopy is not an independent valid or reliable proof of completion: quality assurance issues for the national colorectal cancer‐screening programme

Can Technology Improve the Quality of Colonoscopy?

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