Atlas of Ileoscopy: A Collection of Clinical Cases by Antonello Trecca

By Antonello Trecca

This atlas offers fine quality pictures of scientific instances of small bowel ailments, with a spotlight at the significance of terminal ileoscopy because the first step in detecting this crew of infrequent pathologies. one of the stipulations coated are celiac illness, inflammatory bowel affliction, neoplasms, infections, and pediatric ailment. The multidisciplinary method of the presentation of scientific circumstances, with contributions from histology, radiology, tablet endoscopy, enteroscopy, and surgical procedure, guarantees that the atlas will offer a correct studying direction for newcomers and in addition a good replace for specialists.​

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In the following, we present an unusual case of a patient with CD that was detected by terminal ileoscopy. Clinical Presentation In 2006, a 20-year-old man underwent lower endoscopy for the recent onset of abdominal pain and a small amount of rectal bleeding. A. it Blood examinations and a fecal occult blood test showed unremarkable findings. Total colonoscopy was negative, but an attempted retrograde ileoscopy revealed multiple aphthoid lesions located in the last 5 cm of the ileum (Fig. 1). Histology performed on biopsy specimens showed severe inflammation of the terminal ileum, with a lymphoplasmacytic inflammatory infiltrate largely due to eosinophil granulocytes (Fig.

Am J Gastroenterol 98:1512–1515 Geboes K, Ectors N, D’Haens G et al (1998) Is ileoscopy with biopsy worthwhile in patients presenting with symptoms of inflammatory bowel disease? Am J Gastroenterol 93:201–206 McHugh JB, Appelman HD, McKenna BJ (2007) The diagnostic value of endoscopic terminal ileum biopsies Am J Gastroenterol 102:1084-1089 Van Assche G, Dignass A, Panes J et al (2010) The second European evidence-based consensus on the diagnosis and management of Crohn's disease: Definitions and diagnosis J Crohn’s Colitis 4:7-27 Multiple Choice Questionnaire 1) What is the first-line diagnostic procedure for suspected IBD?

Sigmoid colon d. rectum 4) Which is the most frequent location of tumors with a polypoid-type appearance? a. transverse colon b. right colon c. left colon d. rectum 5) What are the current indications for colorectal endoscopic submucosal dissection? a. polypoid lesions <40 mm in diameter b. all laterally spreading tumors and non-polypoid lesions c. laterally spreading tumors located in the rectum d. 3 Depressed-Type Adenoma of the Ileum Shin-ei Kudo Background The prevalence of neoplastic lesions of the small bowel is quite low.

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