Ileoscopy

Ileoscopy is a medical procedure that involves examining the ileum (the last portion of the small intestine) using an endoscope. It is typically performed during a colonoscopy or as a standalone procedure to diagnose and treat conditions affecting the small intestine.


Indications for Ileoscopy

Ileoscopy is commonly used to:

  1. Diagnose and monitor conditions like:
    • Crohn’s disease
    • Celiac disease
    • Small intestinal tumors or polyps
    • Tuberculosis or other infections
  2. Investigate symptoms such as:
    • Chronic diarrhea
    • Abdominal pain
    • Unexplained weight loss
  3. Evaluate post-surgical complications, such as in patients with ileal pouch-anal anastomosis.
  4. Perform biopsies of the ileum for histological examination.

Procedure Steps

  1. Preparation:
    • The patient undergoes bowel preparation similar to a colonoscopy, typically involving a liquid diet and a bowel-cleansing solution.
    • Patients may receive sedation or anesthesia for comfort.
  2. Insertion of the Endoscope:
    • The procedure usually starts with a colonoscopy.
    • The endoscope is advanced through the colon into the terminal ileum.
  3. Examination and Intervention:
    • The doctor inspects the ileal mucosa for abnormalities such as inflammation, ulcers, strictures, or polyps.
    • If necessary, biopsies are taken using specialized instruments passed through the endoscope.
    • Therapeutic interventions, such as dilation of strictures or removal of polyps, may be performed if required.
  4. Completion:
    • After the ileum has been examined, the endoscope is carefully withdrawn.
    • The procedure typically takes 30-60 minutes, depending on the complexity.

Post-Procedure Care

  • Recovery:
    • Patients are monitored for a short period after the procedure, especially if sedatives were used.
    • Most patients can return to normal activities the same day, barring complications.
  • Potential Side Effects:
    • Mild bloating or cramping due to air introduced during the procedure.
    • Rare complications include bleeding, infection, or perforation of the intestine.
  • Follow-Up:
    • Results of biopsies or findings are discussed with the patient, and further treatment plans are developed based on the diagnosis.

Dr. Masfique Ahmed Bhuiyan

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