Intraoperative endoscopy through enterotomy for overt obscure gastrointestinal bleeding: A retrospective cohort study

Tao, Qingsong; AL-Magedi, Ahmed A.S.; Wang, Zhi; Xu, Wei; Wu, Rong

doi:10.1016/j.ijso.2022.100465

Cited by 2 publications

(9 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It may be performed through one or more surgical enterotomies to reduce operation time and avoid mesenteric laceration and overdistension. According to published data on IOE, localization of a bleeding site can be made in 58-99% of cases with a therapeutic yield of 48-94% [3,18].…”

Section: Discussionmentioning

confidence: 99%

“…Over the years, endoscopy has been one of the major choices for diagnosing and treating patients with minor or resolved hemorrhages. However, in some cases, it is di cult to identify the bleeding lesions, even with deep enteroscopy or video capsule endoscopy (VCE), and has more possibilities for surgical management [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the exploratory laparotomy's negative result, open or laparoscopic surgery with intraoperative endoscopy (IOE) would be performed as IOE through the enterotomy route (IOE-E) or transoral and/or transanal for the combined route (IOE-combined) [9]. IOE is used when the bleeding lesions cannot be localized and treated by endoscopic, angiographic embolization, exploratory laparotomy, or other techniques that aim to visualize the lumen of the intestine [3,10,11].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Small Bowel Refractory Bleeding: A Retrospective Study for Causes and Surgical Management

AL-Magedi¹,

Xv²,

Wang³

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

Introduction Small Bowel (SB) Bleeding is one of the common gastrointestinal problems, particularly in elders. The study aimed to find the causes of refractory bleeding and overcome the challenges and difficulties of surgical treatment for SB refractory bleeding. Methods All Patients with SB refractory bleeding who underwent surgical treatment were included in this study. Patients’ characteristics, surgical finding, and follow-up assessments were reviewed and analyzed through Hospital Information System (HIS) records from October 1st ,2014, to November 30th ,2020. All analyses were performed using SPSS v23.0. Results The causes of SB bleeding include Vascular lesions (Angioectasia, AVM, Dieulafoy lesions) 29.6%, Tumors (Polyps, GIST, Adenocarcinoma, and other) 24.5%, Diverticular 18.4%, Ulcers/erosion 15.3%, Inflammatory bowel disease 7.1% and other 5.1%. Patients (age < 60) were highly developed Small Bowel bleeding caused by diverticular 26.4% compared to patients (Age ≥ 60) 8.9%, while bleeding caused by vascular lesions was significantly higher in patients (Age ≥ 60) 37.8%. Other causes, such as tumors and IBD, showed no significant difference related in age. Exploratory laparotomy was the standard method of bowel extrinsic examination. The intraoperative enteroscopy enterotomy (IOE-E) and IOE-combined were performed in 52 patients (1:1). IOE-E shows lower postoperative morbidity and shorter time of operation P < 0.05 compared to the IOE-combined approach . Conclusions Age and exhaustive patient history can assist in finding out the etiology. IOE-E is safe, and coordination between surgeon and endoscopist is necessary for IOE if an identifiable source cannot be found in endoscopy or exploratory laparotomy alone.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Small Bowel Refractory Bleeding: A Retrospective Study for Causes and Surgical Management

AL-Magedi¹,

Xv²,

Wang³

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…Over the years, endoscopy has been one of the major choices for diagnosing and treating patients with minor or resolved hemorrhages. However, in some cases, it is difficult to identify the bleeding lesions, even with deep enteroscopy or video capsule endoscopy (VCE), and has more possibilities for surgical management 3,4…”

mentioning

confidence: 99%

“…Regarding the exploratory laparotomy’s (Exp-lap’s) negative result, open or laparoscopic surgery with intraoperative endoscopy (IOE) would be performed as IOE through the enterotomy route (IOE-E) or transoral and/or transanal for the combined route (IOE-combined) 9. IOE is used when the bleeding lesions cannot be localized and treated by endoscopic, angiographic embolization, Exp-lap, or other techniques that aim to visualize the lumen of the intestine 3,10,11…”

mentioning

confidence: 99%

Small Bowel Refractory Bleeding

AL-Magedi¹,

Xv²,

Wang

et al. 2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

Self Cite

View full text Add to dashboard Cite

Introduction: Small bowel (SB) bleeding is one of the common gastrointestinal problems, particularly in elders. The study aimed to find the causes of refractory bleeding and overcome the challenges and difficulties of surgical treatment for SB refractory bleeding.Methods: All patients with SB refractory bleeding who underwent surgical treatment were included in this study. Patients' characteristics, surgical finding, and follow-up assessments were reviewed and analyzed through Hospital Information System records from October 1, 2014, to November 30, 2020. All analyses were performed using SPSS v23.0. Results:The causes of SB bleeding include vascular lesions (angioectasia, arteriovenous malformations, and dieulafoy lesions) 29.6%, tumors (Polyps, gastrointestinal stromal tumor, Adenocarcinoma, and other) 24.5%, diverticular 18.4%, ulcers/erosion 15.3%, inflammatory bowel disease 7.1%, and other 5.1%. Patients (age below 60 y) were highly developed SB bleeding caused by diverticular 26.4% compared with patients (age 60 y or older) 8.9%, whereas bleeding caused by vascular lesions was significantly higher in patients (age 60 y or older) 37.8%. Other causes, such as tumors and inflammatory bowel disease, showed no significant difference related in age. Exploratory laparotomy was the standard method of bowel extrinsic examination. The intraoperative enteroscopy enterotomy (IOE-E) and IOE-combined were performed in 52 patients (1:1). IOE-E shows lower postoperative morbidity and shorter time of operation P < 0.05 compared with the IOE-combined approach.Conclusions: Age and exhaustive patient history can assist in finding out the etiology. IOE-E is safe, and coordination between surgeon and endoscopist is necessary for IOE if an identifiable source cannot be found in endoscopy or exploratory laparotomy alone.

show abstract

Intraoperative endoscopy through enterotomy for overt obscure gastrointestinal bleeding: A retrospective cohort study

Cited by 2 publications

References 26 publications

Small Bowel Refractory Bleeding: A Retrospective Study for Causes and Surgical Management

Small Bowel Refractory Bleeding: A Retrospective Study for Causes and Surgical Management

Small Bowel Refractory Bleeding

Contact Info

Product

Resources

About