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Related Experiment Videos

Total intraoperative enteroscopy using a colonoscope for detecting the bleeding point.

Yoshiaki Mihara1, Keiichi Kubota, Hitoshi Nagata

  • 1Second Department of Surgery, Dokkyo University School of Medicine, Tochigi, Japan. miharamt@dp.u-netsurf.ne.jp

Hepato-Gastroenterology
|September 15, 2004
PubMed
Summary

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Total intraoperative enteroscopy successfully diagnosed and treated small intestine bleeding in a patient unresponsive to other methods. This technique is effective for identifying obscure gastrointestinal bleeding sources.

Area of Science:

  • Gastroenterology
  • Surgical Endoscopy

Background:

  • Small intestine bleeding is rare and challenging to diagnose.
  • Obscure gastrointestinal bleeding can lead to severe conditions and shock.

Purpose of the Study:

  • To report a case of successful diagnosis and treatment of small intestine bleeding using total intraoperative enteroscopy.
  • To highlight the efficacy of intraoperative enteroscopy for identifying obscure gastrointestinal bleeding sources.

Main Methods:

  • A 59-year-old male patient with severe gastrointestinal bleeding underwent emergency laparotomy.
  • Total intraoperative enteroscopy was performed using a colonoscope to identify the bleeding source.
  • A jejunal ulceration, diagnosed as angiodysplasia, was found and surgically resected.

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Main Results:

  • Gastroscopy, colonoscopy, arteriography, and scintigraphy failed to localize the bleeding.
  • Total intraoperative enteroscopy successfully identified a jejunal angiodysplasia as the source of bleeding.
  • The patient recovered fully and was discharged on postoperative day 24.

Conclusions:

  • Total intraoperative enteroscopy is an effective tool for diagnosing obscure small intestine bleeding when other methods fail.
  • This technique is feasible in most centers without specialized equipment.
  • Early diagnosis and intervention are crucial for managing severe small intestine bleeding.