Ozmen M M, Yilmaz U, Kale I T, Tanik A, Yilmaz S
Department of Surgery, Numune Hospital, Ankara, Turkey.
Hepatogastroenterology. 1999 Mar-Apr;46(26):1007-9.
Small bowel enteroscopy has been reported useful in the non-surgical evaluation of the small intestine in patients with obscure gastrointestinal bleeding but findings may be limited due to incomplete small bowel intubation and a lack of tip deflection. Intra-operative enteroscopy (IOE) is accepted as the ultimate diagnostic procedure for complete evaluation of the small bowel in these patients. Two patients with obscure gastrointestinal bleeding and deep anemia underwent IOE during surgical exploration. Angiodysplastic lesion with a diameter of 3 cm was found at jejunum in the first patient and segmental jejunal resection was performed. Enteroscopy showed red punctate lesions with a diameter of 1-3 mm located at proximal jejunum and extending to the ileum in the second patient. Total jejunal resection was performed. There was no recurrence of gastrointestinal bleeding during 36 months follow-up.
小肠镜检查已被报道在不明原因胃肠道出血患者的小肠非手术评估中有用，但由于小肠插管不完全和缺乏尖端偏转，其发现可能有限。术中肠镜检查（IOE）被认为是这些患者小肠全面评估的最终诊断方法。两名不明原因胃肠道出血和重度贫血的患者在手术探查期间接受了IOE。第一名患者在空肠发现直径3 cm的血管发育异常病变，并进行了节段性空肠切除术。在第二名患者中，肠镜检查显示直径1-3 mm的红色点状病变位于空肠近端并延伸至回肠。进行了全空肠切除术。在36个月的随访期间，胃肠道出血未复发。
