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  • Title: Intraoperative enteroscopy by standard colonoscope with a minimal contamination technique.
    Author: Pontone S, Pironi D, Arcieri S, Eberspacher C, Panarese A, Filippini A.
    Journal: Surg Laparosc Endosc Percutan Tech; 2013 Feb; 23(1):e11-3. PubMed ID: 23386163.
    Abstract:
    About 5% of occult gastrointestinal bleeding derives from small intestinal lesions. The intraoperative enteroscopy (IOE), although the development of double-balloon enteroscopy and capsule endoscopy reduced the indications, is still valid to locate the bleeding site in some selected cases. An 88-year-old woman presenting to the emergency department with a severe anemia underwent the laparotomic exploration and IOE. A 15-mm laparoscopy trocar with a sterile camera drape was adopted to introduce a standard colonoscope through an enterotomy. The operation was safe and effective, without intraoperative morbidity and early complications related to surgery or endoscopy. We propose a technical solution during the IOE to minimize contamination of the surgical field. Although this technique is safe and feasible, further studies are needed to evaluate the method effectiveness.
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