Utility and techniques of intraoperative endoscopy and interventions

Abstract Intraoperative endoscopy is an indispensable tool for gastrointestinal surgery. Advent of CO2 endoscopy has allowed for incremental expansion of its applications. With experienced endoscopist surgeon and operating room staffs, intraoperative endoscopy can be done without added morbidity in...

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Bibliographic Details
Published in:Seminars in colon and rectal surgery 2017-03, Vol.28 (1), p.30-33
Main Authors: Arcila, Elizabeth, MD, Shin, Joongho, MD
Format: Article
Language:English
Subjects:
Gastroenterology and Hepatology
Surgery
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Summary:Abstract Intraoperative endoscopy is an indispensable tool for gastrointestinal surgery. Advent of CO2 endoscopy has allowed for incremental expansion of its applications. With experienced endoscopist surgeon and operating room staffs, intraoperative endoscopy can be done without added morbidity in time-efficient manner, while providing value in diagnosis and treatment. Intraoperative endoscopy has long been used to localize small tumor when palpation and preoperative endoscopic tattoo do not clarify the precise location of the tumor. It can be used to ascertain distal transection point in rectum, to assess integrity and perfusion of pelvic anastomosis, to aid in laparoscopic sleeve cecectomy or CELS (Combined Endo Laparoscopic Surgery), and to localize small intestine bleeding. Intraoperative endoscopy is invaluable in the case of anastomotic leak and bleeding. Utility of intraoperative endoscopy is expected to grow as new device and platform become available.
ISSN:1043-1489
1558-4585
DOI:10.1053/j.scrs.2016.11.002