Kong Xiangheng, Cao Yuning, Yang Daogui, Li Senlin
Department of Gastrointestinal Surgery Department of Digestion, Liaocheng people's Hospital, Liaocheng, Shandong Provence, China.
Medicine (Baltimore). 2017 Feb;96(5):e6027. doi: 10.1097/MD.0000000000006027.
Occult small bowel bleeding is always difficult to locate by either radiological examination or endoscopy. When the site of bleeding cannot be found by nonsurgical measures, exploratory laparotomy becomes necessary.
A 63-year-old woman with a half-month history of occult gastrointestinal bleeding failed to many conservative therapies.
Intraoperative transillumination with water-filling of lumen was performed.
Small bowel bleeding was diagnosed intraoperatively.
Segmental resection of the diseased small bowel with side-to-side anastomosis was performed while the histology showed no significant abnormality.
The technique of intraoperative transillumination with water-filling of lumen allows simple, accurate, and rapid localization of lesions in occult small bowel bleeding and facilitates precise and definitive surgery.
隐匿性小肠出血无论是通过放射学检查还是内镜检查都很难定位。当非手术措施无法找到出血部位时，就需要进行剖腹探查术。
一名63岁女性，有半个月的隐匿性胃肠道出血病史，多种保守治疗均无效。
术中进行肠腔注水透照。
术中诊断为小肠出血。
对病变小肠进行节段性切除并端端吻合，组织学检查显示无明显异常。
术中肠腔注水透照技术能简单、准确且快速地定位隐匿性小肠出血的病变部位，有助于进行精确和确定性的手术。
Zotero 插件