title: Intraoperative Enteroscopy: Is There Still a Role?
abstract: Intraoperative enteroscopy (IOE) to explore obscure gastrointestinal bleeding is now rarely indicated. IOE allows complete small bowel exploration in 57% to 100% of cases, finds a bleeding source in 80% of cases, allows the recurrence-free management of gastrointestinal bleeding in 76% of cases, but carries a high morbidity and mortality. IOE only remains indicated to guide the intraoperative treatment of preoperatively identified small bowel lesions when nonoperative treatments are unavailable and/or when intraoperative localization by external examination is impossible.
authors.affiliation: Department of General and Digestive Surgery, Georges Pompidou European AP-HP University Hospital, 20-40 rue Leblanc, 75908 Paris Cedex 15, France; Paris Descartes Faculty of Medicine, 15, rue de l'Ecole de Médecine, Paris 75006, France.
authors.forename: Thibault
authors.initials: T
authors.lastname: Voron
authors.affiliation: Paris Descartes Faculty of Medicine, 15, rue de l'Ecole de Médecine, Paris 75006, France; Department of Gastroenterology and Endoscopy, Georges Pompidou European AP-HP University Hospital, 20-40, rue Leblanc, 75908 Paris Cedex 15, France.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Rahmi
authors.affiliation: Department of Digestive Surgery, Percy University Military Hospital, 101 Avenue Henri Barbusse, Clamart 92140, France.
authors.forename: Stephane
authors.initials: S
authors.lastname: Bonnet
authors.affiliation: Paris Descartes Faculty of Medicine, 15, rue de l'Ecole de Médecine, Paris 75006, France; Department of Gastroenterology and Endoscopy, Georges Pompidou European AP-HP University Hospital, 20-40, rue Leblanc, 75908 Paris Cedex 15, France.
authors.forename: Georgia
authors.initials: G
authors.lastname: Malamut
authors.affiliation: Department of Digestive Surgery, Avicenne AP-HP University Hospital, 125 Rue de Stalingrad, Bobigny 93000, France; UFR SMBH, Paris-Nord University, 74, rue Marcel Cachin, 93017 Bobigny cedex, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Wind
authors.affiliation: Paris Descartes Faculty of Medicine, 15, rue de l'Ecole de Médecine, Paris 75006, France; Department of Gastroenterology and Endoscopy, Georges Pompidou European AP-HP University Hospital, 20-40, rue Leblanc, 75908 Paris Cedex 15, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Cellier
authors.affiliation: Department of General and Digestive Surgery, Georges Pompidou European AP-HP University Hospital, 20-40 rue Leblanc, 75908 Paris Cedex 15, France; Paris Descartes Faculty of Medicine, 15, rue de l'Ecole de Médecine, Paris 75006, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Berger
authors.affiliation: Department of General and Digestive Surgery, Georges Pompidou European AP-HP University Hospital, 20-40 rue Leblanc, 75908 Paris Cedex 15, France; Paris Descartes Faculty of Medicine, 15, rue de l'Ecole de Médecine, Paris 75006, France. Electronic address: richard.douard@aphp.fr.
authors.forename: Richard
authors.initials: R
authors.lastname: Douard
mesh_terms: D000071087:Balloon Enteroscopy / Q000379:methods*; D053704:Capsule Endoscopy; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging*; D006801:Humans; D007410:Intestinal Diseases / Q000000981:diagnostic imaging*; D007421:Intestine, Small / Q000000981:diagnostic imaging*; D007432:Intraoperative Period; D011237:Predictive Value of Tests
keywords: Digestive surgery; Intraoperative enteroscopy; Laparotomy; Obscure gastrointestinal bleeding; Small bowel