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Intraoperative colonoscopy.

J L Cohen¹, K A Forde

¹Department of Surgery, College of Physicians and Surgeons, Columbia University, New York, New York 10032.

Annals of Surgery

|March 1, 1988

Summary

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Intraoperative colonoscopy aided in patient management for various reasons, including polyp site identification and locating difficult polyps. This procedure significantly influenced outcomes, demonstrating its continued value in surgical settings.

Area of Science:

Gastroenterology
Surgical Endoscopy

Background:

Intraoperative colonoscopy (IOC) is a valuable tool in surgical practice.
Indications for IOC have evolved with advancements in preoperative endoscopic evaluation.

Purpose of the Study:

To review the indications, outcomes, and complications of intraoperative colonoscopy.
To assess the continued relevance of IOC in modern surgical practice.

Main Methods:

Retrospective review of 68 patients undergoing IOC between 1973 and 1985.
Analysis of indications, procedural outcomes, and complications.

Main Results:

The primary indications included locating previous polypectomy sites (44%) and inability to complete preoperative colonoscopy (24%).

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IOC influenced patient outcomes in 93% of cases.

Two complications (splenic capsular tears) occurred.

Conclusions:

Despite improved preoperative endoscopic capabilities, intraoperative colonoscopy remains a significant procedure.
IOC is effective in managing specific intra-abdominal conditions requiring colonic evaluation during surgery.