Schein M, Decker G
Department of Surgery, J.G. Strijdom Hospital, Johannesburg, South Africa.
Surg Gynecol Obstet. 1988 Nov;167(5):437-8.
Intraoperative endoscopic localization of the lesions responsible for the bleeding in the upper part of the gastrointestinal tract that escape detection in the preoperative period is an attractive alternative to the blind exploratory duodenogastrostomy. The retrograde technique described herein may be superior to the oral antegrade intraoperative method advocated by some authors. Large clots obscuring clear viewing are rapidly removed by way of the small gastrotomy, and the proximal hidden corners of the stomach are readily visualized even by a surgeon who lacks previous experience with endoscopic techniques. We suggest this to be the method of choice for localization of the obscure point of bleeding during emergent operations for bleeding of the upper part of the gastrointestinal tract.
对于术前未被发现的上消化道出血病变，术中内镜定位是一种有吸引力的替代盲目探索性十二指肠造口术的方法。本文所述的逆行技术可能优于一些作者提倡的经口顺行术中方法。通过小胃切开术可迅速清除遮挡清晰视野的大血块，即使是缺乏内镜技术经验的外科医生也能轻松看到胃近端隐蔽的角落。我们建议这是上消化道出血急诊手术中出血隐匿点定位的首选方法。
