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Cirujano general
Print version ISSN 1405-0099
Abstract
SOTO GRANADOS, Mauro and MALDONADO PALACIOS, Blanca Esther. Usefulness of intraoperative enteroscopy in severe gastrointestinal bleeding originating in the small intestine. Description of a technique using gastroduodenoscope and presentation of three clinical cases. Cir. gen [online]. 2016, vol.38, n.3, pp.144-148. Epub Mar 31, 2020. ISSN 1405-0099.
Severe gastrointestinal bleeding originated in the jejunum and ileum is rare, but it constitutes a serious threat to life. In these circumstances, the fast and accurate location of the bleeding site is critical to prevent and/or reduce morbidity and mortality from hypovolemic shock. Endoscopic examination of the small intestine, even in elective conditions, requires sophisticated resources hard to get in most hospitals in our country, especially in the case of urgent situations. For these cases, an intraoperative enteroscopy practiced with gastroduodenoscope (a device currently available in many public and private health institutions) can be useful. This report describes a technique of intraoperative enteroscopy, with a brief report of three successful clinical cases diagnosed through this procedure; highlights of the technique are reviewed.
Keywords : Intraoperative enteroscopy; gastrointestinal bleeding; small bowel.