Document Detail


Intraoperative enteroscopy for diagnosis and management of unexplained gastrointestinal bleeding.
MedLine Citation:
PMID:  11084125     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to evaluate the diagnostic and therapeutic yield of intraoperative enteroscopy in patients with obscure gastrointestinal (GI) bleeding. METHODS: Complete intraoperative enteroscopy was performed in 25 patients with GI bleeding (overt hemorrhage 21, occult blood loss 4). The cause of GI bleeding was unknown before intraoperative enteroscopy in 20 patients and presumed in 5 (colon 4, duodenum 1). RESULTS: Complete inspection of the small bowel was achieved in all cases. Mucosal-based lesions of the small bowel were identified in 16 of the 20 patients in whom the source of bleeding was unknown preoperatively (angiodysplasia 12, other causes 4). These lesions were treated by segmental small bowel resection (15) or medical therapy (1). With a mean 19-month follow-up, the rebleeding rate was 30% (6 of 20), and 2 of them in whom enteroscopy was negative died of massive hemorrhage. Intraoperative enteroscopy was normal in the 5 patients with bleeding of presumed GI origin preoperatively. CONCLUSIONS: Intraoperative enteroscopy remains a valuable tool for exploring obscure GI bleeding in selected patients.
Authors:
R Douard; P Wind; Y Panis; P Marteau; Y Bouhnik; C Cellier; P Cugnenc; P Valleur
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  180     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-12-06     Completed Date:  2000-12-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  181-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Gastrointestinal Surgery and Gastroenterology, AP-HP University Laennec Hospital, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Endoscopy, Gastrointestinal / standards*
Female
Gastrointestinal Hemorrhage / diagnosis*,  etiology,  surgery
Humans
Intestinal Diseases / complications,  diagnosis*,  surgery*
Intestine, Small / surgery*
Intraoperative Period
Male
Middle Aged
Predictive Value of Tests
Recurrence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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