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Intestine and Lower Gastrointestinal Tract ·

Negligible benefit of terminal ileal intubation in asymptomatic colonoscopy

Routine terminal ileal intubation in asymptomatic patients undergoing colon cancer screening shows minimal diagnostic value.

  • Overall diagnostic yield for any ileal finding is just 1.74%.
  • Yield for clinically significant pathology is only 0.28%, with Crohn’s disease detection at 0.1%.

Surgeons should reconsider routine TII during screening and surveillance colonoscopies due to negligible benefit.

Review by Scalvini D, Maimaris S (…) Anderloni A et 14 al. in Gastrointest Endosc

Copyright © 2026 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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