Intraoperative enteroscopy in the diagnosis of partial intestinal obstruction in infancy.
We present the case of a 4-month-old infant with a prolonged illness due to an occult intestinal stricture. Diagnosis of the lesion escaped conventional radiologic and surgical methods and required intraoperative enteroscopy. Resection of the stricture lead to prompt clinical improvement. Our patient illustrates a primary diagnostic use of intraoperative enteroscopy in the detection of a partial intraluminal small bowel obstruction. As further experience accumulates with small bowel endoscopy, roles for therapeutic enteroscopy (such as polypectomy, photocoagulation, and perhaps balloon dilatation) will certainly arise. Such endeavors will depend on the continued productive collaboration between members of the surgical and gastroenterological teams.
Duggan
C
C
Combined Program in Pediatric Gastroenterology and Nutrition, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Shamberger
R C
RC
Antonioli
D
D
Leichtner
A M
AM
D004200:Diseases in Twins; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D007080:Ileocecal Valve / Q000473:pathology / Q000601:surgery; D007223:Infant; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D007430:Intraoperative Care; D007813:Laparotomy; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D012086:Reoperation