Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, USA.
Can J Gastroenterol Hepatol. 2019 Feb 3;2019:1451835. doi: 10.1155/2019/1451835. eCollection 2019.
For gastrointestinal endoscopists, the ileocecum is the finishing line during colonoscopy and it is identified by three endoscopic landmarks: terminal ileum, ileocecal valve, and the appendiceal orifice. Although ileal intubation is recommended during routine screening colonoscopy, it is not required in most cases of screening colonoscopy. Ileal intubation is indicated in certain circumstances such as suspected inflammatory bowel disease and GI bleeding. There is much pathology that can be observed within the ileocecum. Careful and systematic examination should be stressed during GI endoscopic training and practice. In this review, the authors demonstrate its anatomy, endoscopic findings, and pathologies.
对于胃肠内镜医生来说,回盲部是结肠镜检查的终点,它有三个内镜下标志:末端回肠、回盲瓣和阑尾开口。虽然推荐在常规筛查结肠镜检查中进行回肠插管,但在大多数筛查结肠镜检查中并非必需。在某些情况下,如疑似炎症性肠病和胃肠道出血,需要进行回肠插管。回盲部有很多可以观察到的病理变化。在胃肠内镜培训和实践中,应强调仔细和系统的检查。在这篇综述中,作者展示了它的解剖结构、内镜表现和病理变化。