Bowden T A, Hooks V H, Mansberger A R
South Med J. 1979 Dec;72(12):1532-4. doi: 10.1097/00007611-197912000-00012.
Intraoperative gastrointestinal endoscopy has become an increasingly valuable diagnostic and therapeutic adjunct in the management of a variety of complicated problems in surgical patients. At the Medical College of Georgia, intraoperative gastrointestinal endoscopic technics have been successfully used to locate the site and cause of occult gastrointestinal bleeding; to diagnose, biopsy, and, when appropriate, resect lesions during operations conducted for other pathologic processes; to gain endoscopic access for resection of lesions otherwise inaccessible (endoscopically) by virtue of intestinal distortion caused by adhesions; to guide the operating surgeon to an area of resectable disease through dense adhesions secondary to multiple previous laparotomies; and to enhance diagnosis at laparotomy. The value of intraoperative gastrointestinal endoscopy in lesions resulting in occult gastrointestinal hemorrhage and the value of combined radiographic and intraoperative endoscopic technics in diagnosing and managing occult GI bleeding are discussed.
术中胃肠内镜检查在外科患者各种复杂问题的处理中已成为一种越来越有价值的诊断和治疗辅助手段。在佐治亚医学院，术中胃肠内镜技术已成功用于定位隐匿性胃肠道出血的部位和病因；在因其他病理过程进行的手术中诊断、活检并在适当的时候切除病变；通过粘连引起的肠扭曲获得内镜通道以切除原本（内镜下）无法到达的病变；引导手术医生通过多次先前剖腹手术导致的致密粘连找到可切除疾病的区域；以及在剖腹手术中加强诊断。本文讨论了术中胃肠内镜检查在导致隐匿性胃肠道出血的病变中的价值，以及联合影像学和术中内镜技术在诊断和处理隐匿性胃肠道出血中的价值。
