Role of intraoperative enteroscopy in the management of obscure gastointestinal bleeding at the time of video-capsule endoscopy

Douard, Richard; Wind, Philippe; Berger, Anne; Manière, T; Landi, Bruno; Cellier, Christophe; Cugnenc, Paul-Henri

doi:10.1016/j.amjsurg.2008.06.036

Cited by 37 publications

(20 citation statements)

References 19 publications

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“…In the 15 patients with lesions on VCE, intraoperative enteroscopy yielded treatment in 13 (87%), whereas in the 3 negative VCE studies, the intraoperative enteroscopy result was normal, suggesting an important directive role for VCE. 86 …”

Section: Intraoperative Enteroscopymentioning

confidence: 97%

The role of endoscopy in the management of obscure GI bleeding

Fisher¹,

Krinsky²,

Anderson³

et al. 2010

Gastrointestinal Endoscopy

228

103

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Section: Intraoperative Enteroscopymentioning

confidence: 97%

The role of endoscopy in the management of obscure GI bleeding

Fisher¹,

Krinsky²,

Anderson³

et al. 2010

Gastrointestinal Endoscopy

228

103

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“…In the 15 patients with lesions on VCE, intraoperative enteroscopy yielded treatment in 13 (87%), whereas in the 3 VCE studies with negative results, the intraoperative enteroscopy result was normal, suggesting an important directive role for VCE. 96 Common adverse events associated with intraoperative enteroscopy include serosal tears, avulsion of mesenteric vessels, and prolonged ileus. 97 Because of the high morbidity associated with intraoperative enteroscopy, its use is currently reserved for rare cases in which other modalities have failed to identify a lesion, or deep enteroscopy cannot be performed without lysis of adhesions.…”

Section: Role Of Intraoperative Enteroscopymentioning

confidence: 99%

The role of endoscopy in the management of suspected small-bowel bleeding

Gurudu¹,

Bruining²,

Acosta³

et al. 2017

Gastrointestinal Endoscopy

129

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“…This finding is also similar to a study by Douard et al which reported that 13 of 15 patients (80%) with positive VCE preoperatively had the same diagnoses confirmed during IOE. 17 Hartmann also found that IOE confirmed diagnoses in 95% of patients with a positive VCE. 18 Diagnostic yield of DBE for patients with OGIB also appeared similar.…”

Section: Discussionmentioning

confidence: 89%

“…Similarly, a study by Douard et al reported that 66.7% (2/3) patients with negative VCE ultimately had a diagnosis made during IOE. 17 In contrast, Hartmann reported that only 14.2% (1/7) of patients with negative VCE were found to have a lesion diagnosed at IOE. 18 Therefore, gastroenterologists and surgeons should be more careful in selecting patients for IOE when VCE and/or DE are negative.…”

Section: Discussionmentioning

confidence: 95%

Laparotomy and intraoperative enteroscopy for obscure gastrointestinal bleeding before and after the era of video capsule endoscopy and deep enteroscopy: A tertiary center experience

Manatsathit

Khrucharoen

Jensen

et al. 2018

The American Journal of Surgery

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Background To evaluate roles of intraoperative endoscopy (IOE) in management of severe obscure GI bleeding (OGIB) before vs. after introduction of video capsule endoscopy (VCE) and deep enteroscopy (DE). Methods We retrospectively reviewed prospectively collected data of patients undergoing IOE for severe OGIB in a tertiary referral center. Results 52 patients had laparotomy/IOE for OGIB, 11 pre and 41 post VCE/DE eras. In the pre VCE/DE era, 36.4% (4/11) had preoperative presumptive diagnoses while in the post VCE/DE era presumptive diagnoses were made in 48.8% (20/41) (p= 0.18). Preoperative evaluation led to correct diagnoses in 18.2% (2/11) in the pre and 51.2% (21/41) in the post VCE/DE era (p=0.09). Vascular lesions and ulcers were the most common diagnoses, but rebleeding was common. No rebleeding was found among patients with tumors, Meckel's diverticulum, and aortoenteric fistula. Conclusions Presumptive diagnoses in the post VCE/DE era were usually accurate. If VCE or DE are negative, the probability of negative IOE is high. Patients with tumors and Meckel's diverticulum were the best candidates for IOE.

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Role of intraoperative enteroscopy in the management of obscure gastointestinal bleeding at the time of video-capsule endoscopy

Cited by 37 publications

References 19 publications

The role of endoscopy in the management of obscure GI bleeding

The role of endoscopy in the management of obscure GI bleeding

The role of endoscopy in the management of suspected small-bowel bleeding

Laparotomy and intraoperative enteroscopy for obscure gastrointestinal bleeding before and after the era of video capsule endoscopy and deep enteroscopy: A tertiary center experience

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