Intraoperative endoscopy in the acute diagnosis of small intestinal bleeding.docVIP

 PAGE \* MERGEFORMAT 7 Intraoperative endoscopy in the acute diagnosis of small intestinal bleeding Of: Dyke, Remembrance, Guhong Xiang, Li Xueqian, Tang Shilong, Yang Qiaoling, Mak Hoi Chu [Keywords:] acute intestinal bleeding, intraoperative endoscopy, diagnosis Acute intestinal tract bleeding is a rare acute clinical disease is acute onset, rapid progression, conventional diagnostic methods are difficult to clear bleeding site. Our department from July 1999 to December 2007 period, 18 cases of patients with acute intestinal bleeding line intraoperative endoscopy, bleeding lesions were found to obtain good clinical results, are as follows. 1. Clinical Data The group of 14 males and 4 females, aged 14 to 75 years, mean 59 years. Of which 14 to 25 years in 10 cases, 6 cases of 26 to 50 years old, 50 years old in 2 cases. All patients were admitted to hospital for acute gastrointestinal bleeding by emergency endoscopy ruled out stomach, duodenum, descending more bleeding, through the cleansing enema underwent emergency colonoscopy ruled out Results, rectal bleeding, by B ultrasound, magnetic resonance imaging exclude hemobilia. After aggressive medical blood transfusion, bleeding, fluid replacement therapy is still active bleeding. 2. Inspection methods By OlmpusXQ 240 or Fuji 450,590 gastroscope gastroscopy, clean water, immersed in acidification potential of more than 15 min to achieve complete disinfection purposes. Tests were carried out under the TV imaging. Rehydration preoperative positive blood transfusion to correct patients with hemorrhagic shock , remained stable vital signs. preoperative preparation and the same general abdominal laparotomy, cut about 2 cm from the level of intestinal incision, endoscopic sterile plastic body jacket cover, insert the small intestine incision, assisted by the surgeon into the mirror, endoscopists endoscopy responsible for regulating the direction and observation. incision site chosen near the ileu