Intraoperative Enteroscopy—a Tool for the Diagnosis of Obscure Gastrointestinal Bleeds

Lakshmikantha, Nishanth; Atmaram, D. C.; Lakshman, K.

doi:10.1007/s12262-020-02558-4

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…It can be performed using various types of endoscopes, such as a standard or pediatric colonoscope, push enteroscope, or a sonde enteroscope, during laparotomy [ 15 ]. The procedure has several indications, including detecting otherwise occult lesions, defining the location of multiple small lesions, confirming bleeding from known lesions, excluding the presence of suspected bleeding lesions, and aiding in determining the length of required resection [ 16 ]. Before the advent of video capsule endoscopy (VCE), intraoperative enteroscopy (IOE) was the only technique available for complete small intestine exploration, with a high success rate in reaching the end of the ileum but also associated with a mortality rate of 4 % and high morbidity due to postsurgical ileus caused by intraoperative mesentery stretching [ 18 ].In the post-video capsule endoscopy (VCE) and device-assisted enteroscopy (DAE) era, intraoperative enteroscopy remains essential in evaluating small bowel disorders, detecting new lesions, and guiding therapy in carefully selected patients [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case of bleeding jejunal ulcer diagnosed by intraoperative use of enteroscopy

Mikru,

Gucho,

Muleta

et al. 2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

A rare case of bleeding jejunal ulcer diagnosed by intraoperative use of enteroscopy

Mikru,

Gucho,

Muleta

et al. 2024

International Journal of Surgery Case Reports

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Difficult Small Bowel Bleeding in Surgical View

Bae

2024

J Acute Care Surg

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diagnostic modalities in SBB are performed. However, the small bowel is beyond the reach of these diagnostic modalities. A large amount of bleeding in GIB is a key factor leading to a poor prognosis. Appropriate and prompt diagnostic and treatment strategies are needed. Several diagnostic and management algorithms have been proposed. However, the processing of algorithm is complex and frequent mistakes are happened. Because of surgical aspects and sudden or gradual development of hemodynamic instability in SBB, algorithms considering surgical role and treatment have been published. The intra-operative enteroscopy (IOE) is a gold-standard method for detecting lesions in SBB. The primary goal of IOE is to detect specific bleeding focus in SBB. The determining the resection range is the secondary goal. In most cases in SBB, segmental resection is treatment of choice. However, in bleeding distal duodenum from distal to the ampulla of Vater to Treitz ligament, pancreas preserving distal duodenectomy could be performed. In terminal ileum bleeding, after resection of pathologic bowel, the reconstruction option is ileo-colic anastomosis or end enterostomy. Because of frequently developed postoperative morbidity and mortality, post-operative critical care is perfectly fit for an acute care surgeon’s role. Therefore, in the entire management process, an interprofessional team or multidisciplinary approach is critical for improving the quality of care of SBB and decreasing mistakes.

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Intraoperative Enteroscopy—a Tool for the Diagnosis of Obscure Gastrointestinal Bleeds

Cited by 2 publications

References 15 publications

A rare case of bleeding jejunal ulcer diagnosed by intraoperative use of enteroscopy

A rare case of bleeding jejunal ulcer diagnosed by intraoperative use of enteroscopy

Difficult Small Bowel Bleeding in Surgical View

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