title: Intraoperative enteroscopy by standard colonoscope with a minimal contamination technique.
abstract: About 5% of occult gastrointestinal bleeding derives from small intestinal lesions. The intraoperative enteroscopy (IOE), although the development of double-balloon enteroscopy and capsule endoscopy reduced the indications, is still valid to locate the bleeding site in some selected cases. An 88-year-old woman presenting to the emergency department with a severe anemia underwent the laparotomic exploration and IOE. A 15-mm laparoscopy trocar with a sterile camera drape was adopted to introduce a standard colonoscope through an enterotomy. The operation was safe and effective, without intraoperative morbidity and early complications related to surgery or endoscopy. We propose a technical solution during the IOE to minimize contamination of the surgical field. Although this technique is safe and feasible, further studies are needed to evaluate the method effectiveness.
authors: Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy. stefano.pontone@uniroma1.it
authors: Stefano
authors: S
authors: Pontone
authors: Daniele
authors: D
authors: Pironi
authors: Stefano
authors: S
authors: Arcieri
authors: Chiara
authors: C
authors: Eberspacher
authors: Alessandra
authors: A
authors: Panarese
authors: Angelo
authors: A
authors: Filippini
mesh_terms: D000369:Aged, 80 and over; D000740:Anemia / Q000209:etiology; D020685:Colonoscopes; D003113:Colonoscopy / Q000295:instrumentation*; D004866:Equipment Contamination / Q000517:prevention & control*; D017809:Fatal Outcome; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007430:Intraoperative Care / Q000295:instrumentation; D012002:Rectal Diseases / Q000209:etiology / Q000601:surgery*; D012008:Recurrence