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Usefulness of intraoperative endoscopy in pediatric surgery: state of the art

Rachele Borgogni1, Federica Gaiani, Francesco Di Mario

  • 1Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy. federica.gaiani@studenti.unipr.it.

Acta Bio-Medica : Atenei Parmensis
|December 19, 2018
PubMed

Insights

Intraoperative endoscopy aids surgeons in identifying and treating gastrointestinal lesions during surgery. This procedure is safe and efficient when performed by experienced specialists, improving patient outcomes.

Area of Science:

  • Gastrointestinal Surgery
  • Endoscopy
  • Diagnostic Procedures

Background:

  • Intraoperative endoscopy is a valuable adjunct in open and laparoscopic gastrointestinal surgery.
  • It assists surgeons in identifying endoluminal lesions requiring treatment.

Purpose of the Study:

  • To review the literature on intraoperative endoscopy in gastrointestinal surgery.
  • To assess its safety, efficacy, and complication rates.

Main Methods:

  • A PubMed search was conducted using specific Mesh terms for intraoperative endoscopy.
  • Inclusion criteria focused on pediatric and gastrointestinal pathology from 2000-2018, excluding reviews and non-English articles.

Main Results:

  • Sixteen studies involving 1210 patients were analyzed.
  • Complication rates ranged from 0.3% to 14%, with perforation, bleeding, and mucosal tears being most common.
  • Mortality rates were between 0.7% and 1.2%.

Conclusions:

  • Intraoperative endoscopy is an essential tool in gastrointestinal surgery.
  • It facilitates accurate diagnosis and effective treatment.
  • Experienced endoscopists can perform the procedure safely and efficiently.
Abstract

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