Incidental Ileitis, IBD Pipeline, & Ustekinumab Followup Data

M Agrawal et al. Journal of Crohn’s and Colitis, jjab030 Prevalence and progression of incidental terminal ileitis on non-diagnostic colonoscopy: a systematic review and meta-analysis

Key findings:

  • Seven studies reported the prevalence of IDTI (Incidentally-diagnosed terminal ileitis) in 44,398 persons undergoing non-diagnostic colonoscopy
  • The pooled prevalence rate of IDTI was 1.6%
  • Progression to overt CD was rare over 1-7 years of followup

My take: As noted below by Dr. Rubin, in those with normal labs who are asymptomatic, most incidental ileitis is not progressive and should be monitored.

This slide from @RealCecum Twitter Feed and @IBDMD Twitter Feed