The Intraoperative Localization of the Obscure Bleeding Site Using Fluorescein

Ohri, S K; Jackson, James E.; La, Desa; Spencer, J. R.

doi:10.1097/00004836-199206000-00012

Cited by 16 publications

(2 citation statements)

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“…The surgical act may be easier with the injection of fluorescein during the angiography. 10 Even with these two other explorations, the cause of the recurrent bleeding was still unknown. Acute small-bowel bleeds require a higher number of explorations, more blood transfusions, and a longer hospital stay compared with colonic or upper gastrointestinal bleeds.…”

Section: Discussionmentioning

confidence: 99%

Multiple Stomas for Recurrent Life-Threatening Gastrointestinal Bleeding: Report of a Case

Lefèvre

Parc

Bennis

et al. 2008

Diseases of the Colon &Amp; Rectum

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Acute lower gastrointestinal hemorrhage is an uncommon and severe symptom. The overall mortality rate ranges from 5 to 12 percent and can approach 40 percent for persistent or recurring bleedings. We report a case of a patient with severe recurrent lower bleeding in whom, despite several repeated explorations and a blind subtotal colectomy, no lesion could be found. Multiple (n = 4) leveled stomas of the small bowel with succus entericus reinfusion were required to localize and treat the cause of the bleeding. This case report is followed by a review of the literature of the management of lower gastrointestinal bleeding.

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Section: Discussionmentioning

confidence: 99%

Multiple Stomas for Recurrent Life-Threatening Gastrointestinal Bleeding: Report of a Case

Lefèvre

Parc

Bennis

et al. 2008

Diseases of the Colon &Amp; Rectum

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“…Several small case series have since reported successful use of the technique to localize bleeding . Fluorescein has been used as an alternative; however, this requires special equipment to enable visualization in contrast to methylene blue being obvious under standard operating theatre lighting. In this patient, as bleeding was from within a diverticulum, an on‐table enteroscopy would most probably have been unsuccessful as well.…”

mentioning

confidence: 99%

Bleeding small bowel: methylene blue guided resection

Turner

Pal

Sharma

2018

ANZ Journal of Surgery

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Preoperative Highly Selective Catheter Localization of Occult Small-Intestinal Hemorrhage With Methylene Blue Dye

McDonald

Farnell²,

Stanson³

et al. 1995

Arch Surg

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In patients with occult lower gastrointestinal bleeding, locating of the source of the hemorrhage can be quite difficult. While multiple diagnostic tests may confirm a small bowel source of bleeding, precise localization allowing a directed, conservative surgical resection may be problematic. We describe three patients each of whom presented with hemorrhage from the small intestine. The preoperative use of highly selective angiographic catheter placement combined with intraoperative methylene blue dye injection allowed us to precisely locate the source of hemorrhage and to resect a conservative length of small intestine. This technique has been successful in the three patients herein, and we believe that it should be included in the options available to the surgeon.

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The Intraoperative Localization of the Obscure Bleeding Site Using Fluorescein

Cited by 16 publications

References 0 publications

Multiple Stomas for Recurrent Life-Threatening Gastrointestinal Bleeding: Report of a Case

Multiple Stomas for Recurrent Life-Threatening Gastrointestinal Bleeding: Report of a Case

Bleeding small bowel: methylene blue guided resection

Preoperative Highly Selective Catheter Localization of Occult Small-Intestinal Hemorrhage With Methylene Blue Dye

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