Laparoscopic assisted balloon enteroscopy to detect obscure gastrointestinal bleeding sources missed by capsule endoscopy
Autor: | Damiano Bisogni, Giovanni Alemanno, Andrea Galli, Annamaria Di Bella, Luca Novelli, Tommaso Innocenti, Paolo Prosperi |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: | |
Zdroj: | Journal of Minimal Access Surgery, Vol 17, Iss 1, Pp 104-107 (2021) |
Druh dokumentu: | article |
ISSN: | 0972-9941 1998-3921 |
DOI: | 10.4103/jmas.JMAS_6_20 |
Popis: | Jejunoileal neuroendocrine tumours (NETs) are frequently multifocal and represent a consistent source of obscure gastrointestinal bleeding (OGIB). We report the real-life case of a female presenting to our attention for severe episodes of haematochezia caused by multiple localisation of jejunoileal NETs. A discrepancy between pre-operative total body contrast-enhancement computed tomography scan and capsule endoscopy (CE) emerged, in terms of numbers of lesions, so that, as completeness, an intraoperative balloon-assisted enteroscopy (BAE) was carried out, leading to the detection of the multiple lesions missed during CE. In case of obscure gastrointestinal bleeding sources missed by capsule endoscopy, laparoscopic-assisted balloon enteroscopy plays an essential role, allowing both to assess a precise diagnosis and to resect the intestinal bleeding tract. |
Databáze: | Directory of Open Access Journals |
Externí odkaz: |