[Peroperative enteroscopy in recurrent hemorrhage of the small intestine].
Two cases of severe, recurrent gastrointestinal bleeding due to a small vascular lesion of the small intestine are presented. In the two patients, the diagnosis was established by intra-operative enteroscopy; in the first patient during laparotomy carried out after negative preoperative investigations; in the second, 48 hours after a right ileo-colic resection was performed for Crohn's disease of the ileum thought to be the cause of the bleeding. These two cases confirm that intra-operative enteroscopy is a very effective method to detect bleeding from small intestinal lesions, and that it should be used when pre-operative investigations and intraoperative examination are unsuccessful.
Pierrugues
R
R
Avril
P
P
Amoyal
P
P
Balmes
M
M
Michel
H
H
D000328:Adult; D001165:Arteriovenous Malformations / Q000150:complications* / Q000175:diagnosis; D004724:Endoscopy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply*; D007432:Intraoperative Period; D008297:Male; D012008:Recurrence
L'entéroscopie per-opératoire dans les hémorragies récidivantes de l'intestin grêle.