A new technique for intraoperative enteroscopy using a 12-mm trocar

Gorski, Y. C.; Gorski, Tito F.; Chung, Hun Jae; Genato, Romulo

doi:10.1007/s004649901083

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Ileus, postsurgical small bowel obstruction, parietal infection, Douglas abscess, and ventral hernia are described as major surgical complications. Gorski et al 5 and Agarwal 6 in 1999 described for the first time a technical solution to minimize a surgical field contamination during IOE using a 12-mm trocar or a laparoscope, respectively. The techniques could be used in combination with laparoscopic surgery, 3 even more decreasing the contamination.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Enteroscopy by Standard Colonoscope With a Minimal Contamination Technique

Pontone

Pironi

Arcieri

et al. 2013

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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About 5% of occult gastrointestinal bleeding derives from small intestinal lesions. The intraoperative enteroscopy (IOE), although the development of double-balloon enteroscopy and capsule endoscopy reduced the indications, is still valid to locate the bleeding site in some selected cases. An 88-year-old woman presenting to the emergency department with a severe anemia underwent the laparotomic exploration and IOE. A 15-mm laparoscopy trocar with a sterile camera drape was adopted to introduce a standard colonoscope through an enterotomy. The operation was safe and effective, without intraoperative morbidity and early complications related to surgery or endoscopy. We propose a technical solution during the IOE to minimize contamination of the surgical field. Although this technique is safe and feasible, further studies are needed to evaluate the method effectiveness.

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Section: Discussionmentioning

confidence: 99%

Intraoperative Enteroscopy by Standard Colonoscope With a Minimal Contamination Technique

Pontone

Pironi

Arcieri

et al. 2013

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…• In this technique, a 12-mm or 15-mm bladeless laparoscopic port with or without balloon is inserted from the enterotomy site in to the bowel [31][32][33][34].…”

Section: Insertion Of Port In Bowelmentioning

confidence: 99%

Role of Intraoperative Endoscopy in the Management of Small Bowel Diseases

Gupta¹,

Singh²,

Gupta³

et al. 2021

Endoscopy in Small Bowel Diseases

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With the advances in the endoscopic technology, most of the small bowel diseases are being diagnosed by capsule endoscopy and device assisted enteroscopy. However, there are many clinical situations such as small bowel obstruction, foreign body impaction were these advanced endoscopic procedures cannot be performed. In such cases, intraoperative endoscopy plays a vital role in the management of these small bowel diseases. Intraoperative endoscopy is also very useful in identification of the site of obscure gastrointestinal bleeding in difficult cases. Moreover, capsule endoscopy and device assisted enteroscopy are expensive procedures and not readily available at all medical centers especially in low income countries. On the other hand, intraoperative endoscopy can be easily performed by conventional gastroscope and colonoscope. In this chapter, we have discussed the indications, techniques, outcomes and complications of intraoperative endoscopy in the current era of deep enteroscopy.

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“…A variation of this approach was reported by a surgical group in Brooklyn [18]. A patient with obscure bleeding with a hemoglobin level of 4.8 g/dL underwent multiple investigations, which were inconclusive except for a positive Meckel scan.…”

Section: Intraoperative Enteroscopymentioning

confidence: 99%

Small-Intestinal Endoscopy

Waye¹

2001

Endoscopy

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A small imaging capsule without cables, wires, or external connections has been developed for exploration of the small bowel. This swallowable device is propelled by peristalsis through the intestinal tract, and transmits data to a nearby receiver that captures video images on a regular basis. This technology will soon be available throughout the world, and it promises to revolutionize deep endoscopy of the small bowel. Sonde enteroscopy will be laid to rest forever. There continues to be considerable interest in the use of push enteroscopy in the investigation of obscure gastrointestinal bleeding. Physicians are beginning to rely more on intraoperative enteroscopy, because of its high degree of accuracy and its ability to provide visualization of the entire small bowel in selected patients in whom the bleeding source cannot be diagnosed, but who require blood transfusions.

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A new technique for intraoperative enteroscopy using a 12-mm trocar

Cited by 5 publications

References 12 publications

Intraoperative Enteroscopy by Standard Colonoscope With a Minimal Contamination Technique

Intraoperative Enteroscopy by Standard Colonoscope With a Minimal Contamination Technique

Role of Intraoperative Endoscopy in the Management of Small Bowel Diseases

Small-Intestinal Endoscopy

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