Flickinger E G, Stanforth A C, Sinar D R, MacDonald K G, Lannin D R, Gibson J H
Department of Surgery, East Carolina University School of Medicine, Greenville, North Carolina 27858-4354.
Am J Surg. 1989 Jan;157(1):137-44. doi: 10.1016/0002-9610(89)90434-0.
Intraoperative video panendoscopy was performed in 14 patients with chronic, recurrent gastrointestinal bleeding. All of the study patients had undergone extensive and expensive diagnostic testing including multiple radiographic contrast studies of the gastrointestinal tract, upper and lower endoscopy, nuclear bleeding scans, and selective mesenteric angiography without definition of the bleeding source. Intraoperative video panendoscopy, employing a segmental advance and look technique, allowed visualization and transillumination of the entire gut and identified mucosal disease in 13 patients (93 percent). Angiodysplasia of the colon and small intestine was the most common pathologic finding. Intraoperative video panendoscopy significantly influenced the operation performed in 13 patients (93 percent). Postoperative complications were minimal, with none being directly attributable to intraoperative video panendoscopy. Bleeding was totally controlled in 10 patients (71 percent) during a mean follow-up period of 25 months. Intraoperative video panendoscopy is a valuable technique for assisting in the management of the patient with recurrent gastrointestinal bleeding.
对14例慢性复发性胃肠道出血患者进行了术中视频全内镜检查。所有研究患者均接受了广泛且昂贵的诊断检查，包括多次胃肠道造影检查、上下消化道内镜检查、核素出血扫描以及选择性肠系膜血管造影，但均未明确出血源。术中视频全内镜检查采用分段推进观察技术，可对整个肠道进行可视化和透照检查，13例患者（93%）发现了黏膜病变。结肠和小肠血管发育异常是最常见的病理发现。术中视频全内镜检查对13例患者（93%）的手术方式产生了显著影响。术后并发症极少，且无直接归因于术中视频全内镜检查的情况。在平均25个月的随访期内，10例患者（71%）的出血得到了完全控制。术中视频全内镜检查是协助管理复发性胃肠道出血患者的一项有价值的技术。
