Application of laparoscopy in diagnosis and treatment of massive small intestinal bleeding： Report of 22 cases

AIM： To investigate the diagnostic and therapeutic value of laparoscopy in patients with massive small intestinal bleeding. METHODS： Twenty-two patients with massive small intestinal bleeding and hemodynamic alteration underwent laparoscopic laparotomy in our unit from December 2002 to April 2005. P...

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Published in:World journal of gastroenterology : WJG 2006-11, Vol.12 (43), p.7051-7054
Main Authors: Ba, Ming-Chen, Qing, San-Hua, Huang, Xiang-Cheng, Wen, Ying, Li, Guo-Xin, Yu, Jiang
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anastomosis, Surgical - methods
Endoscopy, Gastrointestinal - methods
Female
Gastrointestinal Hemorrhage - diagnosis
Gastrointestinal Hemorrhage - surgery
Humans
Intestinal Diseases - diagnosis
Intestinal Diseases - surgery
Intestine, Small - pathology
Intestine, Small - surgery
Laparoscopy - methods
Male
Middle Aged
Rapid Communication
肠出血
腹腔镜检查
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Summary:AIM： To investigate the diagnostic and therapeutic value of laparoscopy in patients with massive small intestinal bleeding. METHODS： Twenty-two patients with massive small intestinal bleeding and hemodynamic alteration underwent laparoscopic laparotomy in our unit from December 2002 to April 2005. Post pathologic sites were found, laparoscopy- or laparoscopy-assisted part small intestinal resection including pathologic intestinal site and enteroanastomosis was performed in all these patients. RESULTS： The bleeding sites were successfully detected by laparoscopy in all these 22 patients. Massive small intestinal bleeding was caused by jejunum benign stromal tumor in 8 cases, by jejunum potential malignant stromal tumor in 5 cases, by jejunum malignant stromal tumor in 1 case, by Mechel＇s diverticulum in 5 cases, by small intestinal vascular deformity in 2 cases, and by ectopic pancreas in 1 case. A total of 16 patients underwent laparoscopy-assisted enterectomy and enteroanastomosis of small intestine covering the diseased segment and 6 patients received enterectomy of the diseased segment under laparoscope. No surgical complications occurred and the outcome was satisfactory. CONCLUSION： laparoscopy in diagnosis and treatment of massive small intestinal bleeding is noninvasive with less pain, short recovery time and definite therapeutic efficacy.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v12.i43.7051