Lee Hyun Seok, Lim Yun Jeong
Department of Internal Medicine, Kyungpook National University School of Medicine, Colon Cancer Center, Kyungpook National University Medical Center, 807 Hoguk-ro, Buk-gu, Daegu 41404, Republic of Korea.
Department of Internal Medicine, Dongguk University, College of Medicine, Dongguk University Ilsan Hospital, 27 Dongguk-ro, Ilsandong-gu, Goyang 10326, Republic of Korea.
Gastroenterol Res Pract. 2016;2016:9804783. doi: 10.1155/2016/9804783. Epub 2016 Jan 12.
Ileitis is defined as inflammation of the ileum. This condition includes ulcers, aphthous ulcers, erosions, and nodular or erythematous mucosa. Various etiologies are associated with ileitis. Crohn's disease, ulcerative colitis, medications such as nonsteroidal anti-inflammatory drugs, infectious conditions, neoplasms, infiltrative disorders, vasculitides, spondyloarthritis, endometriosis, and radiation therapy-related conditions involve the ileum. However, the differential diagnosis of terminal ileitis can be difficult in many cases. Video capsule endoscopy (VCE) has become a useful tool for the diagnosis of a variety of small bowel lesions. This review describes each of the various conditions associated with ileitis and the diagnostic value of VCE for ileitis, which may help identify and evaluate these conditions in clinical practice. Based on the information provided by VCE, a definitive diagnosis could be made using the patients' medical history, clinical course, laboratory and ileocolonoscopic findings, radiologic imaging findings, and histologic findings.
回肠炎被定义为回肠的炎症。这种情况包括溃疡、阿弗他溃疡、糜烂以及结节状或红斑状黏膜。多种病因与回肠炎相关。克罗恩病、溃疡性结肠炎、非甾体类抗炎药等药物、感染性疾病、肿瘤、浸润性疾病、血管炎、脊柱关节炎、子宫内膜异位症以及放疗相关疾病都可累及回肠。然而，在许多情况下，末端回肠炎的鉴别诊断可能很困难。视频胶囊内镜检查（VCE）已成为诊断各种小肠病变的有用工具。本综述描述了与回肠炎相关的各种情况以及VCE对回肠炎的诊断价值，这可能有助于在临床实践中识别和评估这些情况。根据VCE提供的信息，可结合患者的病史、临床病程、实验室及回结肠镜检查结果、放射影像学检查结果和组织学检查结果做出明确诊断。
