John Libbey Eurotext

Hépato-Gastro & Oncologie Digestive

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Terminal ileitis Volume 19, issue 8, Octobre 2012

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Author
Hôpital Beaujon, Pôle des maladies de l’appareil digestif, Service de gastroentérologie, MICI et Assistance Nutritive

An acute terminal ileitis, often diagnosed as appendicitis, is mainly caused by infections, or Crohn's disease. In many cases, the episode spontaneously heals or after a single course of antibiotic. The distinction between Crohn's disease and ileocaecal tuberculosis might be difficult. In case of Crohn's chronic terminal ileitis, the guidelines are discussed. Entero-MRI is currently the best tool to guide the therapeutical choice between intensification of medical treatment and endoscopic or surgical intervention.