Intraoperative video panendoscopy for diagnosing sites of chronic intestinal bleeding

American Journal of Surgery
E G FlickingerJ H Gibson

Abstract

Intraoperative video panendoscopy was performed in 14 patients with chronic, recurrent gastrointestinal bleeding. All of the study patients had undergone extensive and expensive diagnostic testing including multiple radiographic contrast studies of the gastrointestinal tract, upper and lower endoscopy, nuclear bleeding scans, and selective mesenteric angiography without definition of the bleeding source. Intraoperative video panendoscopy, employing a segmental advance and look technique, allowed visualization and transillumination of the entire gut and identified mucosal disease in 13 patients (93 percent). Angiodysplasia of the colon and small intestine was the most common pathologic finding. Intraoperative video panendoscopy significantly influenced the operation performed in 13 patients (93 percent). Postoperative complications were minimal, with none being directly attributable to intraoperative video panendoscopy. Bleeding was totally controlled in 10 patients (71 percent) during a mean follow-up period of 25 months. Intraoperative video panendoscopy is a valuable technique for assisting in the management of the patient with recurrent gastrointestinal bleeding.

References

Dec 1, 1987·Gastrointestinal Endoscopy·B S Lewis, J D Waye

❮ Previous
Next ❯

Citations

Aug 1, 1994·Surgical Endoscopy·C E Scott-Conner, C Subramony
Apr 1, 1992·Diseases of the Colon and Rectum·W E Longo, A M Vernava
Apr 1, 1995·Diseases of the Colon and Rectum·L B WeinstockJ W Fleshman
Jun 27, 2008·Abdominal Imaging·Vijay Singh, Jeffrey A Alexander
Sep 27, 2001·World Journal of Surgery·W Y YinT M Chang
Jun 26, 2007·Cardiovascular and Interventional Radiology·Ciaran JohnstonJ Mark Ryan
Sep 22, 2005·Diseases of the Colon and Rectum·Rebecca E Hoedema, Martin A Luchtefeld
Mar 1, 1994·Gastrointestinal Endoscopy·J S HoffmanD Birkett
Oct 12, 2000·Current Surgery·A C Bernard, R W Schwartz
Mar 7, 2007·Nature Clinical Practice. Gastroenterology & Hepatology·Ananya Das, Jonathan A Leighton
Aug 20, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jin KimSung Ock Suh
Nov 16, 2004·Gut·P Swain, A Fritscher-Ravens
Aug 11, 2012·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Stéphane BonnetPhilippe Wind
Aug 4, 2009·Gastrointestinal Endoscopy Clinics of North America·Hans-Joachim Schulz, Harald Schmidt
Apr 15, 2008·Gastrointestinal Endoscopy·Lauren Gerson, Ahmad Kamal
Jun 5, 2007·Best Practice & Research. Clinical Gastroenterology·Ulrich Heil, Michael Jung
Feb 1, 1995·Gastrointestinal Endoscopy·D M Jensen
May 18, 2001·Best Practice & Research. Clinical Gastroenterology·A Van Gossum
Jan 1, 1995·Journal of Pediatric Surgery·L de la Torre MondragónJ Ramírez Mayans
Feb 1, 1991·The British Journal of Surgery·L A DesaJ Spencer
Jan 15, 2009·Journal of Clinical Gastroenterology·Konstantinos MakrisGeorge H Sakorafas
Jun 20, 2008·Gastrointestinal Endoscopy·Shu TanakaChoitsu Sakamoto

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.