Localization of small intestinal bleeding. The role of intraoperative endoscopy

The preoperative identification of a bleeding site is not always possible, particularly when bleeding originates in the small intestine. Small vascular abnormalities, such as the telangiectatic lesion described in this report, comprise about 40-60% of such cases. Preoperative location using arteriog...

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Bibliographic Details
Published in:Surgical endoscopy 1994-08, Vol.8 (8), p.915-917
Main Authors: SCOTT-CONNER, C. E. H, SUBRAMONY, C
Format: Article
Language:English
Subjects:
Aged
Anastomosis, Surgical
Biological and medical sciences
Endoscopy, Gastrointestinal
Gastrointestinal Hemorrhage - diagnosis
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - surgery
Humans
Intraoperative Care
Jejunal Diseases - complications
Jejunal Diseases - diagnosis
Jejunal Diseases - surgery
Jejunum - surgery
Male
Medical sciences
Splenectomy
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Telangiectasis - complications
Telangiectasis - diagnosis
Telangiectasis - surgery
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Summary:The preoperative identification of a bleeding site is not always possible, particularly when bleeding originates in the small intestine. Small vascular abnormalities, such as the telangiectatic lesion described in this report, comprise about 40-60% of such cases. Preoperative location using arteriography, radionuclide bleeding scan, and enteroclysis were nondiagnostic. The lesion was demonstrated by intraoperative endoscopy. A segment of small intestine was resected, and the patient made an uneventful recovery.
ISSN:0930-2794
1432-2218
DOI:10.1007/BF00843472