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Acta Endoscopica

, Volume 23, Issue 1, pp 53–57 | Cite as

L’endoscopie peropératoire en urgence dans les hémorragies digestives basses massives : à propos de deux cas

  • I. Piccagli
  • M. Gavioli
  • C. Castellani Tarabini
  • A. Zenezini Chiozzi
  • M. G. Lazzaretti
  • M. Romani
Article
  • 1 Downloads

Résumé

Les auteurs proposent l’utilisation en urgence de l’endoscopie totale peropératoire (ETP) dans les hémorragies digestives basses massives, soumises à une laparotomie sans diagnostic pré-opératoire. Ils présentent un système de lavage-aspiration, mis au point par leurs soins, en vue d’une exploration endoscopique fiable, même sans préparation intestinale, comme c’est le cas en urgence.

Ils soulignent l’utilité de cette méthode simple, capable d’identifier la source du saignement et de conduire à une résection intestinale courte et ciblée.

Ils rapportent deux observations personnelles d’explorations réalisées dans ces conditions.

Mots-clés

endoscopie d’urgence endoscopie peropératoire hémorragies digestives tractus digestif distal 

Emergency peroperative enteroscopy in massive lower gastrointestinal hemorrhages : a review of two cases

Summary

Total peroperative enteroscopy (TPE) is proposed as an emergency method for the management of severe gastrointestinal bleeding from unknown origin. An original irrigation-suction system is described. The procedure provides a reliable endoscopic examination even without intestinal preparation as occurs frequently during hemorrhages.

The authors emphasize the contribution of this simple method to locate correctly the bleeding leading to a more appropriate and limited intestinal resection.

They describe two personal cases of explorations carried out in this way.

Key-words

emergency endoscopy gastrointestinal hemorrhages lower G.I. tract peroperative endoscopy 

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Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • I. Piccagli
    • 1
  • M. Gavioli
    • 1
  • C. Castellani Tarabini
    • 1
  • A. Zenezini Chiozzi
    • 1
  • M. G. Lazzaretti
    • 1
  • M. Romani
    • 1
  1. 1.Servizia di Chirurgia (Pr M. Romani)Ospedale Civile, Castelfranco EmiliaModenaItaly

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