Analysis Of 766 Cases Of Solitary Lesion Of Terminal Ileum

Background The terminal ileum refers to the part about 30 cm from the ileocecal valve to the anal side of the ileum.Many ileal diseases are hidden and difficult to detect,with slow development and prolonged disease.In recent years,with the popularity of colonoscopy in primary hospitals,the increase in endoscopy techniques and attention,the detection rate of terminal ileal lesions has increased year by year.In some patients,the entire colon and rectum are under normal microscopy,and there are only isolated lesions at the end of the ileum.The lesions can be manifested as erosions,ulcers,stenosis,and hyperplasia.Endoscopic performance is difficult to diagnose.Objective Analysis of 766 cases of solitary lesions in the terminal ileum of the First Affiliated Hospital of Zhengzhou University Features to improve our understanding of solitary lesions in the terminal ileum in clinical work.Method Collected data from 766 patients who underwent colonoscopy at the First Affiliated Hospital of Zhengzhou University from January 2016 to September 2018 and found solitary lesions in the terminal ileum for the first time and performed pathological biopsy.Performance,diagnosis and treatment follow-up and risk factors.Result 1 In this group of data,there are 492 males(64.23%)and 274 females(35.77%).The ratio of male to female is 1.79:1,the age is 6 to 82 years,and the average age is 41.26±15.24 years.Among the 2766 patients,475 cases showed abdominal pain,accounting for 62.01%(475/766);237 cases showed diarrhea,accounting for 30.94%(237/766);138 cases showed abdominal distension,accounting for 18.02%(138/766);69 cases showed hematochezia,accounting for 9.01%(69/766);26 cases showed fever,accounting for 3.39%(26/766);19 cases showed weight loss,accounting for 2.48%(19/766)766);8 cases showed abdominal mass,accounting for 1.04%(8/766).3 The detection rate of isolated lesions in the terminal ileum is 1.27%(766/60259);combined with the patient's clinical features,endoscopic findings,pathological features,diagnosis and treatment follow-up,the final diagnosis of the disease has 12 diseases: non-specific There were 598 cases of terminal ileum inflammation(78.06%),41 cases of intestinal tuberculosis(5.35%),35 cases(4.57%)of non-specific small intestinal ulcers,31 cases of lymphoid follicular hyperplasia(4.05%),23 cases of lymphoma(3.00%),13 cases of Crohn's disease(1.70%),10 cases of ulcerative colitis(1.31%),6 cases of Behcet's disease(0.78%),4 cases of eosinophilic enteritis(0.52%),ischemic bowel disease 3 cases(0.39%),1 case of small bowel adenocarcinoma(0.13%),and 1 case(0.13%)of systemic lupus erythematosus.4 Endoscopic manifestations of terminal ileum lesions under colonoscopy mainly include 4 forms: 495 cases(64.62%)of mucosal hyperemia,edema,erosion,199 cases(25.98%)of ulcerative lesions,45 cases of hyperplasia(5.88%),and 27 cases of stenosis(3.52%)..Conclusion 1.Total colonoscopy is a concise,fast and effective specific examination method in the diagnosis of isolated lesions of the terminal ileum.It is of great significance for improving the diagnosis,identification and treatment of isolated lesions of the terminal ileum.However,it is necessary to conduct a comprehensive analysis based on the patient's general characteristics,clinical characteristics,endoscopic performance,laboratory examinations,diagnosis,and follow-up of treatment.2.Among isolated lesions of the terminal ileum,non-specific terminal ileitis is the most common,but non-specific small intestinal ulcers,intestinal tuberculosis,lymphoma,and inflammatory bowel disease are still not to be ignored.3.Follow-up occupies a very important position in the clinical diagnosis of isolated lesions of the terminal ileum.It is necessary to strengthen the awareness of follow-up of patients to achieve the goal of early diagnosis and early treatment.