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Tao Q, AL-Magedi AA, Wang Z, Xu W, Wu R. Intraoperative endoscopy through enterotomy for overt obscure gastrointestinal bleeding: A retrospective cohort study. INTERNATIONAL JOURNAL OF SURGERY OPEN 2022. [DOI: 10.1016/j.ijso.2022.100465] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
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Voron T, Rahmi G, Bonnet S, Malamut G, Wind P, Cellier C, Berger A, Douard R. Intraoperative Enteroscopy: Is There Still a Role? Gastrointest Endosc Clin N Am 2017; 27:153-170. [PMID: 27908515 DOI: 10.1016/j.giec.2016.08.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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.
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Affiliation(s)
- Thibault Voron
- 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
| | - Gabriel Rahmi
- 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
| | - Stephane Bonnet
- Department of Digestive Surgery, Percy University Military Hospital, 101 Avenue Henri Barbusse, Clamart 92140, France
| | - Georgia Malamut
- 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
| | - Philippe Wind
- 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
| | - Christophe Cellier
- 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
| | - Anne Berger
- 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
| | - Richard Douard
- 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.
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Non-colorectal intestinal tract carcinomas in inflammatory bowel disease: results of the 3rd ECCO Pathogenesis Scientific Workshop (II). J Crohns Colitis 2014; 8:19-30. [PMID: 23664498 DOI: 10.1016/j.crohns.2013.04.009] [Citation(s) in RCA: 54] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2013] [Accepted: 04/05/2013] [Indexed: 02/08/2023]
Abstract
Patients with inflammatory bowel diseases (IBD) have an excess risk of certain gastrointestinal cancers. Much work has focused on colon cancer in IBD patients, but comparatively less is known about other more rare cancers. The European Crohn's and Colitis Organization established a pathogenesis workshop to review what is known about these cancers and formulate proposals for future studies to address the most important knowledge gaps. This article reviews the current state of knowledge about small bowel adenocarcinoma, ileo-anal pouch and rectal cuff cancer, and anal/perianal fistula cancers in IBD patients.
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Abstract
Although the small intestine has long been considered the final frontier of endoscopy, a vast amount of progress has led to increased diagnostic and therapeutic capabilities. With the increasing prevalence of capsule endoscopy, the need for enteroscopy also continues to increase. The endoscopic options currently available include double and single balloon-assisted enteroscopy, spiral enteroscopy, and lastly, intraoperative enteroscopy. The majority of published literature has focused on double balloon enteroscopy, but further studies have to provide information on the safety and yield of the newer techniques. Although intraoperative enteroscopy may be practiced less frequently, it has a role in the management of lesions that may not be approachable by other endoscopic means and a role in the guidance of surgical management.
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Affiliation(s)
- Christina A Tennyson
- Division of Gastroenterology, Mount Sinai School of Medicine, New York, NY 10128, USA
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