Intraoperative enteroscopy in obscure gastrointestinal hemorrhage.
Forty three patients were diagnosed to have obscure gastrointestinal hemorrhage (OGH) between January 1987 and April 1996. Pre-operative diagnostic investigations were useful in localizing the site of bleeding in 28 patients (65.1%). These included small bowel enema (n = 12), erythrocyte tagged scan (n = 8), Meckel's scan (n = 2) and selective visceral angiography (n = 7). Following complete evaluation all patients underwent exploratory laparotomy. At laparotomy 31 patients were found to have gross lesions. Intraoperative enteroscopy (IOE) could detect lesions in 9 of the remaining 12 patients.
Lala
A K
AK
Department of Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India.
Sitaram
V
V
Perakath
B
B
Ramakrishna
B S
BS
Kurian
G
G
Khanduri
P
P
D000328:Adult; D000465:Algorithms; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005767:Gastrointestinal Diseases / Q000150:complications / Q000175:diagnosis; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005770:Gastrointestinal Neoplasms / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007430:Intraoperative Care; D007813:Laparotomy; D008297:Male; D012189:Retrospective Studies