Clean sweep of the colonThe use of intraoperative colonoscopy
作者:
Theodore Saclarides,
Bruce Wolff,
John Pemberton,
Richard Devine,
Santhat Nivatvongs,
Roger Dozois,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1989)
卷期:
Volume 32,
issue 10
页码: 864-866
ISSN:0012-3706
年代: 1989
出版商: OVID
关键词: Intraoperative colonoscopy;Colonoscopic polypectomy
数据来源: OVID
摘要:
&NA;Since 1982, intraoperative colonoscopy has been performed on 66 patients. Preoperative intent was to perform a colonoscopic polypectomy during an intra‐abdominal procedure in 44 patients, localize lesions that might subsequently lead to either colon resection or colotomy and polyp excision in 13, localize bleeding sites in 4, determine the extent of inflammatory bowel disease in 2, survey the colon in 2 who did not have preoperative colon radiography, and assess bowel viability in 1. Surgery proceeded as planned in 54 patients; however, colonoscopic findings extended the resection to include additional segments of bowel in 4. In four patients, polypectomy or bowel resection was avoided as a result of the colonoscopic findings. Intraoperative colonoscopy was not possible in four patients. No complications were related directly to this procedure. Intraoperative colonoscopy is a useful adjunct for localizing lesions or “clearing” the colon. In some patients colonoscopic findings may change the extent of resection performed.
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