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Terminal ileal biopsies should not be used to document extent of colonoscopic examination
  1. M D Rutter1,
  2. M G Bramble2
  1. 1University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK
  2. 2James Cook University Hospital, Middlesbrough, Cleveland, UK
  1. Correspondence to:
    Dr M D Rutter
    University Hospital of North Tees, Stockton-on-Tees, Cleveland, TS19 8PE, UK; matt.rutternth.nhs.uk

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We commend the British Society of Gastroenterology and the authors for the excellent publication of guidelines for the management of inflammatory bowel disease in adults (Gut 2004;53(suppl V):v1–v16). However, we feel that their recommendation for routine terminal ileal biopsying is inappropriate. Although it is important …

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