Borgogni R, Gaiani F, Di Mario F, Fornaroli F, Leandro G, Bizzarri B, Ghiselli A, De' Angelis GL, Casolari E. Usefulness of intraoperative endoscopy in pediatric surgery: state of the art.
ACTA BIO-MEDICA : ATENEI PARMENSIS 2018;
89:77-81. [PMID:
30561422 PMCID:
PMC6502215 DOI:
10.23750/abm.v89i8-s.7890]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Indexed: 11/23/2022]
Abstract
INTRODUCTION
Intraoperative endoscopy is a procedure that supports open and laparoscopic surgery, helping the surgeon to identify the presence of endoluminal gastrointestinal lesions which need to be treated, with a correct diagnosis and an adequate therapy.
MATERIAL AND METHODS
A search on PubMed was performed using "intraoperative esophagoscopy", "intraoperative duodenoscopy", and "intraoperative enteroscopy" as Mesh terms. The applied exclusion criteria were: papers written before 2000, not concerning pediatric or gastrointestinal pathology, literature-review articles, language different from English.
RESULTS
Sixteen studies from 2000 to 2018 were included. Overall, 1210 patients were treated. Different pathologies were considered. Complications were observed in a range of 0.3-14%. The most frequent complications were perforation, bleeding and mucosal tear. Mortality ranged between 0.7% and 1,2%.
CONCLUSION
Intraoperative endoscopy is an indispensable tool for gastrointestinal surgery. In the hands of experienced endoscopists, intraoperative endoscopy can be performed safely, in time-efficient manner, facilitating diagnosis and treatment.
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