Background
The endoscopic detection of Crohn’s disease (CD) is generally difficult and confined to the late stage of the disease [1]. The importance of inspecting the terminal ileum during lower endoscopy is gaining increasing acceptance in the international literature based on its ability to provide an earlier diagnosis of this inflammatory bowel disease (IBD), especially in asymptomatic patients [2]. Over the last few decades, new endoscopic imaging modalities that offer enhanced early detection of neoplastic disease have been introduced into clinical practice, although their impact on the diagnosis of IBD is still under evaluation [3]. In the following, we present an unusual case of a patient with CD that was detected by terminal ileoscopy.
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References
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Multiple Choice Questionnaire
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1)
CD involves the terminal ileum in what percentage of cases?
-
a.
40–70%
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b.
10–30%
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c.
80–90%
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a.
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2)
How many CD patients will need surgery during the course of the disease?
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a.
up to 50%
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b.
up to 75%
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c.
up to 30%
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a.
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3)
Which of the following criteria describes the endoscopic severity of CD?
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a.
superficial ulcerations involving > 50% of the mucosal area
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b.
stenotic area or evidence of a fistulous tract
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c.
deep ulcerations eroding the muscle layer
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a.
1. a — 2.b — 3.c
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Trecca, A., Trecca, P., Cerno, G., Gaj, F., Marinozzi, G. (2013). Magnified Terminal Ileoscopy and Crohn’s Disease: Added Value?. In: Trecca, A. (eds) Atlas of Ileoscopy. Springer, Milano. https://doi.org/10.1007/978-88-470-5205-5_4
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DOI: https://doi.org/10.1007/978-88-470-5205-5_4
Publisher Name: Springer, Milano
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