Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects

Detalhes bibliográficos
Autor(a) principal: Melo,Marcelo Maia Caixeta de
Data de Publicação: 2009
Outros Autores: Cury,Patrícia Maluf, Ronchi,Luiz Sérgio, Gonçalves-Filho,Francisco de Assis, Cunrath,Geni Satomi, Gomes Netinho,João
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de gastroenterologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032009000200005
Resumo: CONTEXT: For the diagnosis of the diseases which affect the terminal ileum, the colonoscopy allows macroscopic evaluation and the performing of biopsies. Studies with criteria for the endoscopic and histological characterization of this segment are scarce and there are still some doubts about the need of biopsies in patients with normal ileoscopy. OBJECTIVE: Study the terminal ileum of patients who underwent colonoscopy considering: endoscopic and histological correlation; agreement between results of the initial histological evaluation and slides review, and the chance of subjects with normal ileoscopy with abdominal pain and/or chronic diarrhea to show histological alterations. METHODS: In a prospective study, 111 patients who presented smooth mucosa without enanthema in the endoscopic exam of the terminal ileum were selected. Biopsies of the ileal mucosa of such patients were performed, being the slides routinely examined and reviewed afterwards. RESULTS: The correlation between patients with normal ileoscopy and ileum with preserved histological architecture was of 99.1%. The agreement between initial histological evaluation and slides review calculated by the Kappa test was 0.21. In patients with abdominal pain and/or chronic diarrhea, the chance of showing histological alterations was 2.5 times higher than the others. CONCLUSIONS: The correlation between endoscopic and histological findings was high. The agreement between the initial histologic evaluation and slides review was not satisfactory. The chance of subjects with normal ileoscopy with abdominal pain and/or chronic diarrhea, showing histological alterations was higher in relation to the asymptomatic ones or with other symptoms, although the clinical importance of this datum was not evaluated.
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spelling Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspectsIleal diseasesIleum/anatomy & histologyColonoscopyCONTEXT: For the diagnosis of the diseases which affect the terminal ileum, the colonoscopy allows macroscopic evaluation and the performing of biopsies. Studies with criteria for the endoscopic and histological characterization of this segment are scarce and there are still some doubts about the need of biopsies in patients with normal ileoscopy. OBJECTIVE: Study the terminal ileum of patients who underwent colonoscopy considering: endoscopic and histological correlation; agreement between results of the initial histological evaluation and slides review, and the chance of subjects with normal ileoscopy with abdominal pain and/or chronic diarrhea to show histological alterations. METHODS: In a prospective study, 111 patients who presented smooth mucosa without enanthema in the endoscopic exam of the terminal ileum were selected. Biopsies of the ileal mucosa of such patients were performed, being the slides routinely examined and reviewed afterwards. RESULTS: The correlation between patients with normal ileoscopy and ileum with preserved histological architecture was of 99.1%. The agreement between initial histological evaluation and slides review calculated by the Kappa test was 0.21. In patients with abdominal pain and/or chronic diarrhea, the chance of showing histological alterations was 2.5 times higher than the others. CONCLUSIONS: The correlation between endoscopic and histological findings was high. The agreement between the initial histologic evaluation and slides review was not satisfactory. The chance of subjects with normal ileoscopy with abdominal pain and/or chronic diarrhea, showing histological alterations was higher in relation to the asymptomatic ones or with other symptoms, although the clinical importance of this datum was not evaluated.Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. 2009-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032009000200005Arquivos de Gastroenterologia v.46 n.2 2009reponame:Arquivos de gastroenterologia (Online)instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiainstacron:IBEPEGE10.1590/S0004-28032009000200005info:eu-repo/semantics/openAccessMelo,Marcelo Maia Caixeta deCury,Patrícia MalufRonchi,Luiz SérgioGonçalves-Filho,Francisco de AssisCunrath,Geni SatomiGomes Netinho,Joãoeng2009-06-25T00:00:00Zoai:scielo:S0004-28032009000200005Revistahttp://www.scielo.br/aghttps://old.scielo.br/oai/scielo-oai.php||secretariaarqgastr@hospitaligesp.com.br1678-42190004-2803opendoar:2009-06-25T00:00Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiafalse
dc.title.none.fl_str_mv Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects
title Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects
spellingShingle Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects
Melo,Marcelo Maia Caixeta de
Ileal diseases
Ileum/anatomy & histology
Colonoscopy
title_short Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects
title_full Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects
title_fullStr Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects
title_full_unstemmed Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects
title_sort Terminal ileum of patients who underwent colonoscopy: endoscopic, histologic and clinical aspects
author Melo,Marcelo Maia Caixeta de
author_facet Melo,Marcelo Maia Caixeta de
Cury,Patrícia Maluf
Ronchi,Luiz Sérgio
Gonçalves-Filho,Francisco de Assis
Cunrath,Geni Satomi
Gomes Netinho,João
author_role author
author2 Cury,Patrícia Maluf
Ronchi,Luiz Sérgio
Gonçalves-Filho,Francisco de Assis
Cunrath,Geni Satomi
Gomes Netinho,João
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Melo,Marcelo Maia Caixeta de
Cury,Patrícia Maluf
Ronchi,Luiz Sérgio
Gonçalves-Filho,Francisco de Assis
Cunrath,Geni Satomi
Gomes Netinho,João
dc.subject.por.fl_str_mv Ileal diseases
Ileum/anatomy & histology
Colonoscopy
topic Ileal diseases
Ileum/anatomy & histology
Colonoscopy
description CONTEXT: For the diagnosis of the diseases which affect the terminal ileum, the colonoscopy allows macroscopic evaluation and the performing of biopsies. Studies with criteria for the endoscopic and histological characterization of this segment are scarce and there are still some doubts about the need of biopsies in patients with normal ileoscopy. OBJECTIVE: Study the terminal ileum of patients who underwent colonoscopy considering: endoscopic and histological correlation; agreement between results of the initial histological evaluation and slides review, and the chance of subjects with normal ileoscopy with abdominal pain and/or chronic diarrhea to show histological alterations. METHODS: In a prospective study, 111 patients who presented smooth mucosa without enanthema in the endoscopic exam of the terminal ileum were selected. Biopsies of the ileal mucosa of such patients were performed, being the slides routinely examined and reviewed afterwards. RESULTS: The correlation between patients with normal ileoscopy and ileum with preserved histological architecture was of 99.1%. The agreement between initial histological evaluation and slides review calculated by the Kappa test was 0.21. In patients with abdominal pain and/or chronic diarrhea, the chance of showing histological alterations was 2.5 times higher than the others. CONCLUSIONS: The correlation between endoscopic and histological findings was high. The agreement between the initial histologic evaluation and slides review was not satisfactory. The chance of subjects with normal ileoscopy with abdominal pain and/or chronic diarrhea, showing histological alterations was higher in relation to the asymptomatic ones or with other symptoms, although the clinical importance of this datum was not evaluated.
publishDate 2009
dc.date.none.fl_str_mv 2009-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032009000200005
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032009000200005
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-28032009000200005
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE.
publisher.none.fl_str_mv Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE.
dc.source.none.fl_str_mv Arquivos de Gastroenterologia v.46 n.2 2009
reponame:Arquivos de gastroenterologia (Online)
instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
instacron:IBEPEGE
instname_str Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
instacron_str IBEPEGE
institution IBEPEGE
reponame_str Arquivos de gastroenterologia (Online)
collection Arquivos de gastroenterologia (Online)
repository.name.fl_str_mv Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
repository.mail.fl_str_mv ||secretariaarqgastr@hospitaligesp.com.br
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