caa a22 4500 445795069 CHVBK 20180317145122.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10620-010-1332-0 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1332-0 Ileoscopy via Stoma After Diverting Ileostomy: A Safe and Effective Tool to Evaluate for Crohn's Recurrence of Neoterminal Ileum [Elektronische Daten] [Narendra Vadlamudi, Naim Alkhouri, Lori Mahajan, Rocio Lopez, Bo Shen] Background: Recurrence of Crohn's disease (CD) most commonly occurs in the neoterminal ileum near the stoma after fecal diverting ileostomy. Methods used to assess CD recurrence include small bowel series, ileostomy injection, computed tomography (CT) enterography, and capsule endoscopy. Retrograde ileoscopy via stoma is also a valuable tool for recognition of CD recurrence; however, this technique has not been formally studied. Objective: To evaluate the safety and utility of retrograde ileoscopy via stoma in patients with CD. Methods: Patients with CD who underwent ileoscopy via stoma between January 1, 2001, through December 31, 2008 were included. This was a retrospective study in a tertiary referral center. The main outcome measures were procedural complications and findings. Results: A total of 243 ileoscopies were performed on 99 patients. The most common indications for ileoscopy were CD activity assessment in 34.5% and abdominal pain in 33.3%. The procedure was outpatient in 75.8%. Meperidine and midazolam were most commonly used. Average depth of intubation was 28.4cm. CD recurrence was detected in 70% of patients. Biopsies were obtained during ileoscopy in 117 studies, and biopsy and ileoscopy findings correlated in 111 studies (94.8%). One polypectomy, 24 balloon stricture dilations, and 8 intralesional steroid injections were performed. All patients tolerated the procedure well without procedure- or anesthesia-related complications. No hospital admissions or procedure-related deaths occurred. Conclusions: Retrograde ileoscopy via stoma is a safe and effective procedure for evaluating recurrence of CD of the neoterminal ileum. It also allows for therapeutic interventions such as balloon dilatation of ileal strictures and steroid injections. Springer Science+Business Media, LLC, 2010 Ileoscopy nationallicence Ileostomy nationallicence Crohn's disease nationallicence Safety nationallicence CD : Crohn's disease nationallicence IBD : Inflammatory bowel disease nationallicence VCE : Video capsule endoscopy nationallicence Vadlamudi Narendra Department of Pediatric Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut Alkhouri Naim Department of Pediatric Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut Mahajan Lori Department of Pediatric Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut Lopez Rocio Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA aut Shen Bo Department of Gastroenterology/Hepatology, Cleveland Clinic, Cleveland, OH, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 866-870 0163-2116 56:3<866 2011 56 10620 https://doi.org/10.1007/s10620-010-1332-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1332-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vadlamudi Narendra Department of Pediatric Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Alkhouri Naim Department of Pediatric Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Mahajan Lori Department of Pediatric Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Lopez Rocio Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Shen Bo Department of Gastroenterology/Hepatology, Cleveland Clinic, Cleveland, OH, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 866-870 0163-2116 56:3<866 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer