Laparoscopically assisted bowel surgery in an era of double-balloon enteroscopy: from inside to outside

Yeh, Ta‐Sen; Liu, Keng-Hau; Su, Ming‐Yao; Lin, Chao‐Nan; Chiu, Cheng-Tang; Tseng, Jeng‐Hwei

doi:10.1007/s00464-008-0050-6

Cited by 17 publications

(13 citation statements)

References 25 publications

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“…This method provides the possibility of obtaining biopsies (to rule out lymphoma), and of tattooing the site of GIST to make its peroperative localization easy during laparoscopic resection 69,70 . In summary, an integrated approach using double balloon endoscopy and laparoscopically assisted bowel resection appears ideally suited for small GISTs of the jejunum or ileum 71 . Larger tumours (over 5 cm), which are usually detected with standard computed tomography, and those located close to the duodenojejunal junction are probably more difficult to approach with a minimally invasive technique and may require a laparotomy.…”

Section: Small Bowelmentioning

confidence: 99%

Surgical management of gastrointestinal stromal tumours

Gervaz

Huber

Morel

2009

British Journal of Surgery

100

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Background: Over the past decade, gastrointestinal stromal tumours (GISTs) have served as a model for the application of tyrosine kinase inhibitors in the treatment of solid neoplasms. Operative and medical management of GISTs is rapidly evolving, but current guidelines appear restricted to basic non-organ-specific recommendations.Methods: A PubMed search was made of the English literature from 1998 to 2008 for references containing the terms 'gastrointestinal stromal tumours' and 'surgery'. This paper reviews the various operative strategies so far reported for GISTs within the digestive tract.Results: Many original procedures tailored to the specific characteristics of these rare sarcomas have been reported. GISTs exhibit distinct features, in particular an absence of metastases within locoregional lymph nodes. Operations requiring extended lymph node dissection, typically designed for adenocarcinomas, such as gastrectomy with extended lymph node dissection, Whipple's procedure and total mesorectum excision, are inappropriate for treating GISTs originating from the stomach, duodenum and rectum respectively.

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Section: Small Bowelmentioning

confidence: 99%

Surgical management of gastrointestinal stromal tumours

Gervaz

Huber

Morel

2009

British Journal of Surgery

100

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“…Postoperative recovery is shorter compared with traditional laparotomy small-bowel resection. Less pain and a shorter period of postoperative intestinal paresis are well documented [16][17][18].…”

Section: Discussionmentioning

confidence: 99%

“…Absence of pain and noninvasiveness has made CE a competitive diagnostic device, even with some limitations [17,18] linked to the inability to sample biopsies, to perform therapeutic interventions, and to maneuver the capsule during the examination.…”

Section: Discussionmentioning

confidence: 99%

Advance in diagnosis and treatment of small bowel tumors: a single-center report

et al. 2011

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“…Most laparoscopically assisted intestinal resections can be completed in 1 hour, with no mortality and minimal morbidity. 15 Second, the use of LBS in a targeted fashion diminished the need for thorough exploration and manipulation of the entire intestine. In most cases, intestinal targets were easily identified at initial laparoscopic examination based on the ''tattoo'' procedure.…”

Section: Discussionmentioning

confidence: 99%

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

Mori

Koike

Inoue

et al. 2015

International Surgery

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We describe here a child with angiodysplasia of the small intestine, diagnosed by doubleballoon endoscopy (DBE), who was treated with transumbilical single-incision laparoscopic surgery (T-SILS). A 9-year-old boy presented to another hospital with intermittent fresh melena of a duration of 5 months and 4 days. Anoscopy and gastric mucosal membrane scintigraphy were unsuccessful diagnostically, and he was referred to our hospital for further examination and treatment. Under general anesthesia, we performed DBE by an anal route, with the ileum assessed for a distance of about 150 cm from the ileocecal valve. Although no bleeding lesion was found in the colon, a flat elevated venous lake approximately 20 mm in size was observed 20 cm from the ileocecal valve, suggesting angiodysplasia of the small intestine. A tattoo was made under DBE, and wedge resection by T-SILS was performed 1 month later under general anesthesia. The excised specimen appeared as a flat, elevated venous lake approximately 20 mm in size. Histopathologic analysis revealed several dilated and distorted veins within the submucosa of the small intestine. The patient was diagnosed with angiodysplasia of the small intestine. His postoperative course was uneventful, and he remained free of recurrent gastrointestinal bleeding 18 months after the operation. This is the first case report showing the diagnosis, localization, and tattooing of an obscure gastrointestinal bleeding lesion of the small intestine by preoperative DBE and removal of the lesion by subsequent T-SILS in children.

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Laparoscopically assisted bowel surgery in an era of double-balloon enteroscopy: from inside to outside

Abstract: The combination of DBE and LABS represents an ideal therapeutic method, especially for OGIB caused by small bleeding neoplasms or vascular lesions.

Cited by 17 publications

References 25 publications

Surgical management of gastrointestinal stromal tumours

Surgical management of gastrointestinal stromal tumours

Advance in diagnosis and treatment of small bowel tumors: a single-center report

Success of Minimally Invasive Transumbilical Single-Incision Laparoscopic Surgery (T-SILS) Plus Double-Balloon Endoscopy (DBE) for Pediatric Intestinal Angiodysplasia: A Case Report

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