Intraoperative enteroscopy

Kopáčová, Marcela; Bureš, Jan; Vykouřil, Ladislav; Hladík, P; Simkovĭc, D; Jon, Bohumil; Ferko, Alexander; Tachecí, Ilja; Rejchrt, Stanislav

doi:10.1007/s00464-006-9052-4

Cited by 47 publications

(14 citation statements)

References 40 publications

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“…Whereas, in ongoing bleeding condition or the case of intestinal intussusception, the surgical removal of lesions is always obigatory. Thus, a precise and comprehensive positioning diagnosis via pre- or intra- operative endoscopy, particularly transparietal enteroscopy [7], renews significance.…”

Section: Discussionmentioning

confidence: 99%

Blue rubber bleb nevus syndrome coexisted with intestinal intussusception: a case report

Wang¹,

Zhao²,

You³

2014

Pan Afr Med J

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Blue Rubber Bleb Nevus Syndrome (BRBNS) is an uncommon congenital disorder characterized by sporadic venous malformation which mainly occurs in skin and alimentary canal. Here, we report a BRBNS patient with concomitant intestinal intussusception who diagnosed by intraoperative endoscopy and ultimately managed using surgical resection. A 19-year-old boy was referred to urgent surgery for acute melena and stomachache. He had used to be a long-term iron user for undiagnosed chronic anemia and papules. Abdominal CT on admission demonstrated the presence of intestinal intussusception. The following exploratory laparotomy and intraoperative endoscopy revealed multiple gastrointestinal hemangiomas. The postoperative course was uneventful and pathological examination certified multiple cavernous hemangiomas in the resected gastrointestines.

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Section: Discussionmentioning

confidence: 99%

Blue rubber bleb nevus syndrome coexisted with intestinal intussusception: a case report

Wang¹,

Zhao²,

You³

2014

Pan Afr Med J

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“…In contrast to Fishman, we are convinced that endoscopic polypectomy or band ligation are high-risk procedures in patients with BRBNS-a number of lesions are transmural ones and there is a high risk of perforation. Therefore doubleballoon enteroscopy is not an acceptable method for patients with BRBNS and will not replace IOE in this indication [10]. According to Shimada et al endoscopic sclerotherapy is ineffective and leads to the development of ulcerations, strictures, and extravasation of the sclerosing agent [11] and we do entirely agree with this opinion.…”

Section: Casementioning

confidence: 56%

“…IOE has been accepted as the ultimate diagnostic and/or therapeutic procedure for the complete investigation of the small bowel. It makes it possible to immediately solve pathological findings by endoscopic or surgical means [10,12]. We prefer a BICAP Probe for electro-coagulation (see Fig.…”

Section: Casementioning

confidence: 99%

A new approach to blue rubber bleb nevus syndrome: the role of capsule endoscopy and intra-operative enteroscopy

et al. 2007

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Blue rubber bleb nevus syndrome (BRBNS) is a rare vascular malformation disorder with cutaneous and visceral lesions frequently associated with serious, even fatal bleeding and anemia. The syndrome is considered to be autosomaly predominantly inherited. Intra-operative enteroscopy (IOE) is the best method of identification of all lesions (particularly the small ones, less than 3 mm) and treatment by endoscopic electro-coagulation or surgical excision. Capsule wireless endoscopy is optimal for screening before the IOE and for monitoring the effect of therapy (in patients with BRBNS). We report two cases of BRBNS. Anemia, gastrointestinal bleeding, gastrointestinal malformations and multifocal venous malformations of the skin were present in both of our cases. Gastrointestinal lesions were identified by gastroscopy, colonoscopy and capsule endoscopy. The multiple venous malformations were treated partly by endoscopic electro-coagulation (lesions up to 4 mm in diameter) and by wedge resection. Both of our patients were 12-year-old girls at the time of operation. In the first patient 31 venous malformations of the small bowel were coagulated, two were resected by the surgeon. In the second patient 20 lesions were coagulated endoscopically and another 31 nevi were resected during an 8 h procedure. The first girl is doing fine 4 years after the procedure, the second was allowed home 2 weeks after the procedure in excellent condition. IOE is a unique method of small bowel investigation and concurrently provides a solution for pathological findings. Capsule endoscopy is a feasible non-invasive screening procedure. We believe that a radical eliminatory approach by means of combined surgery and IOE is indicated for the BRBNS to prevent ongoing gastrointestinal bleeding.

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“…However, only one half of Meckel’s diverticula harbor gastric mucosa. Other diagnostic tools comprise [computed tomography (CT)/magnetic resonance] enteroclysis, intraoperative enteroscopy,9 Doppler ultrasonography,10 angiography, and recently wireless capsule endoscopy11,12 and double balloon enteroscopy 5,13…”

Section: Discussionmentioning

confidence: 99%

Inverted Meckel’s Diverticulum with Ectopic Pancreatic Tissue as a Source of Severe Gastrointestinal Bleeding

Kopáčová

Vykouřil

Vacek

et al. 2010

Journal of Gastrointestinal Surgery

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IntroductionMeckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract. Authors present a 67-year-old woman treated for iron deficiency anemia for the past 5 years. Suddenly, her disease was presented with painless severe gastrointestinal bleeding (fresh melena). Inverted Meckel’s diverticulum with ectopic pancreatic tissue as a source of severe gastrointestinal bleeding was diagnosed by intraoperative enteroscopy.ConclusionA combination of inversion of Meckel’s diverticulum with ectopic pancreatic tissue is extremely rare, particularly in elderly patient. Capsule endoscopy, double balloon enteroscopy, and ultimately intraoperative enteroscopy may be helpful in timely diagnosis.

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Intraoperative enteroscopy

Cited by 47 publications

References 40 publications

Blue rubber bleb nevus syndrome coexisted with intestinal intussusception: a case report

Blue rubber bleb nevus syndrome coexisted with intestinal intussusception: a case report

A new approach to blue rubber bleb nevus syndrome: the role of capsule endoscopy and intra-operative enteroscopy

Inverted Meckel’s Diverticulum with Ectopic Pancreatic Tissue as a Source of Severe Gastrointestinal Bleeding

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