Clinical Analysis Of 106 Cases Of Ileocecal Lesions

Objective: To analyze clinical features of ileocecal lesions and strengthen the understanding of colonoscopy imaging of ileocecal lesions.Mainly analyze the colonoscopy features of ileocecal ulcerative diseases, as well as have a certain diagnosis by pathological biopsy in order to improve the lever of colonoscopy diagnosis for ileocecal lesions.Methods: Make a retrospective analysis of 106 ileocecal lesions cases,which were pick out from the second affiliated hospital of Chongqing Medical University from September 2009 to February 2016.Results: The morbidity of male to female patients with ileocecal lesions is 1.52:1. The male patients are more than female ones, the age distribution is concentrated at 14 to 85 years old. There are many types of pathological changes. In the 106 cases, 31 cases of inflammatory bowel disease(IBD), which are worth 36.04% to ileocecal lesions(31/106), the proportion of male to female is 1:1. 21, and no significant gender difference.In all of these cases, the age distribution is 14 to 76 years old, the average age is 46.74±19.70 years old, which including 16 cases of ulcerative colitis(UC), 13 cases of Crohn’s disease(CD), 2 cases are no classified.Followed by for colorectal cancer, intestinal tuberculosis, ileocecal inflammation, intestinal infectious disease, intestinal polyps, simple ulcer and adenoma, intestinal lipoma and lymphoma are rare to collect. In 106 cases, there are 66 cases of benign lesions(79.52%), the age distribution is14 to 81 years, the average age of 47.35±18.19 years old, by contrast, 28 cases of malignant lesions(27.18%), the age distribution is 38 to 85 years,the average age is 63.29±14.44 years old. The onset age of malignant disease is higher than benign disease. Benign lesions are mainly composed of inflammatory bowel disease(46.97%, 31/66), however, malignant lesions are mainly composed of colorectal cancer(94.12%, 16/17).Ileocecal disease clinical manifestation is conclude with abdominal pain,diarrhea and bloody stool. The colonoscopy imaging showed mucosal hyperemia edema, erosion, ulcer and tumors are on the intestinal tract.Endoscopic biopsy or surgical biopsy pathology mainly showed mucosal inflammation, erosion, ulcer, adenocarcinoma and adenoma.Conclusions: Firstly, there are many types of ileocecal lesions diseases,IBD is most common and also its no significant gender difference. The morbidity of Colon cancer is second which is followed by IBD, the third is intestinal tuberculosis. Secondly, pathological intestinal lesions are almost benign, which the most common in IBD. The malignant lesions is seldom and the most common is adenocarcinoma. Last but not least, ileocecal disease has its different characteristic endoscopic performance, to make acorrect diagnosis easily. However, there are still some ileocecal lesions especially ileocecal ulcerative disease endoscopic performance is similar or lack of typical imaging. Due to these difficulty, lead to diagnosis has certain hinder. We need to combine with the history, diagnosis, treatment,endoscopic biopsy or surgery review, etc. to obtain a final diagnosis.