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Intraoperative fiberoptic endoscopy.

W E Strodel, F E Eckhauser, J A Knol

    The American Surgeon
    |June 1, 1984
    PubMed
    Summary
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    Intraoperative endoscopy during surgery aids in diagnosing gastrointestinal issues, localizing bleeding, and removing foreign bodies without additional incisions. This minimally invasive technique offers significant benefits for complex surgical cases.

    Area of Science:

    • Gastroenterology
    • Surgical Endoscopy

    Background:

    • Conventional endoscopy is crucial for diagnosing and managing gastrointestinal diseases.
    • Intraoperative endoscopy allows direct visualization during surgery, potentially avoiding enterotomy.

    Observation:

    • 32 patients underwent intraoperative gastrointestinal endoscopy during laparotomy over 4.5 years.
    • The procedure was used for localizing bleeding, facilitating biliary tube replacement, excluding artifactual lesions, recovering foreign bodies, and assessing polyps/ulcerations.

    Findings:

    • Intraoperative endoscopy successfully localized obscure bleeding in 15 cases.
    • It facilitated biliary drainage tube replacement in 4 cases and excluded false lesions in 3.
    • Foreign bodies were removed and polyps/ulcerations assessed in 10 cases without enterotomy.

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  • The average examination time was 20 minutes with no complications.

    • Implications:

    • Intraoperative fiberoptic endoscopy is valuable for complex gastrointestinal surgical problems during laparotomy.
    • It improves the identification and treatment of difficult-to-access and hidden gastrointestinal lesions.
    • This technique enhances surgical decision-making and patient outcomes.