ILEOSCOPY and biopsy of the terminal ileum at the time of colonoscopy may be extremely useful in diagnosing diseases of the gastrointestinal tract. This study prospectively evaluates the terminal ileum of patients undergoing colonoscopy at the Metropolitan Hospital from January to November, 1994. A total of 356 colonoscopies were performed; 217 (60.95%) were male, 139 (39.04%) were female; age range from 9 years to 97 years with a mean age of 54.30. The cecum was reached in 240/356 (67.41 %), with successful terminal ileal intubation 156/240 (65%). The terminal ileum, was grossly abnormal in 40/156 (25.64%) with 35/156 (35%) histologic confirmation. There were 22 cases of positive tissue culture for acid fast bacili (bastec). The study showed that patients with gross ileal abnormality presented non-specific complaints.
Based on the results of the study, visualization of the terminal ileum influenced management and treatment. This study also recommends that further investigation be undertaken using bigger number of patients to establish a more significant statistics on the usefulness of ileal intubation.