CPT® Code 44383

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An ileoscopy is a specialized endoscopic procedure that involves the examination of the ileum, which is the final section of the small intestine, through an existing stoma, typically created during previous surgical interventions such as an ileostomy. This procedure is particularly significant for patients who have undergone bowel surgeries and may experience complications such as strictures or stenosis in the ileum. During the ileoscopy, a flexible endoscope is inserted through the stoma into the ileum, allowing for direct visualization of the intestinal mucosa. The procedure includes transendoscopic stent placement, which is a technique used to alleviate narrowing in the ileum. Prior to stent placement, predilation is performed, which involves inflating the narrowed segment of the ileum with a small amount of air. This inflation helps to expand the mucosal folds, enhancing the visibility of the mucosa and facilitating a thorough inspection. The endoscopist carefully navigates the scope along the ileum, identifying any areas of stenosis that may require intervention. Once the stenosis is located, the appropriate size of the stent is selected and introduced through the endoscope, ensuring that it is correctly positioned and deployed within the narrowed segment of the small intestine. Following the procedure, separate radiographs may be obtained to assess the expansion of the stent and confirm its proper placement, ensuring optimal outcomes for the patient.