Usefulness of intraoperative endoscopy in pediatric surgery: state of the art
| Autor: | Rachele, Borgogni, Federica, Gaiani, Francesco, Di Mario, Fabiola, Fornaroli, Gioacchino, Leandro, Barbara, Bizzarri, Alessia, Ghiselli, Gian Luigi, De' Angelis, Emilio, Casolari |
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| Rok vydání: | 2018 |
| Předmět: |
Intraoperative Care
Adolescent intraoperative endoscopy enteroscopy Digestive System Diseases Peutz-Jeghers Syndrome esophagogastroduodenoscopy Colonoscopy Review Esophageal Achalasia pediatric gastroenterology Gastroesophageal Reflux Humans Duodenal Obstruction Endoscopy Digestive System Child Gastrointestinal Hemorrhage Intraoperative Complications |
| Zdroj: | Acta bio-medica : Atenei Parmensis |
| ISSN: | 2531-6745 |
| Popis: | Introduction: Intraoperative endoscopy is a procedure that supports open and laparoscopic surgery, helping the surgeon to identify the presence of endoluminal gastrointestinal lesions which need to be treated, with a correct diagnosis and an adequate therapy. Material and methods: A search on PubMed was performed using “intraoperative esophagoscopy”, “intraoperative duodenoscopy”, and “intraoperative enteroscopy” as Mesh terms. The applied exclusion criteria were: papers written before 2000, not concerning pediatric or gastrointestinal pathology, literature-review articles, language different from English. Results: Sixteen studies from 2000 to 2018 were included. Overall, 1210 patients were treated. Different pathologies were considered. Complications were observed in a range of 0.3-14%. The most frequent complications were perforation, bleeding and mucosal tear. Mortality ranged between 0.7% and 1,2%. Conclusion: Intraoperative endoscopy is an indispensable tool for gastrointestinal surgery. In the hands of experienced endoscopists, intraoperative endoscopy can be performed safely, in time-efficient manner, facilitating diagnosis and treatment. (www.actabiomedica.it) |
| Databáze: | OpenAIRE |
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