Summary
We present the case of a 4-month-old infant with a prolonged illness due to an occult intestinal stricture. Diagnosis of the lesion escaped conventional radiologic and surgical methods and required intraoperative enteroscopy. Resection of the stricture lead to prompt clinical improvement. Our patient illustrates a primary diagnostic use of intraoperative enteroscopy in the detection of a partial intraluminal small bowel obstruction. As further experience accumulates with small bowel endoscopy, roles for therapeutic enteroscopy (such as polypectomy, photocoagulation, and perhaps balloon dilatation) will certainly arise. Such endeavors will depend on the continued productive collaboration between members of the surgical and gastroenterological teams.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Tada M, Kawai K: Small bowel endoscopy. Scand J Gastroenterol 19(suppl 102):39–52, 1984
Gostout CJ, Schroeder KW, Burton DD: Small bowel enteroscopy: An early experience in gastrointestinal bleeding of unknown origin. Gastrointest Endosc 37:5–8, 1991
Foutch PG, Sawyer R, Sanowski RA: Push-enteroscopy for diagnosis of patients with gastrointestinal bleeding of obscure origin. Gastrointest Endosc 36:337–341, 1990
Bombeck CT: Intraoperative esophagoscopy, gastroscopy, colonoscopy, and endoscopy of the small bowel. Surg Clin North Am 55:135–142, 1975
Mathus-Vliegen EMH, Tytgat GNJ: Intraoperative endoscopy: Technique, indications, and results. Gastrointest Endosc 32:381–384, 1986
Ament ME, Vargas J: Fiberoptic upper intestinal endoscopy.In Pediatric Gastrointestinal Disease. WA Walker, CR Durie, JR Hamilton, JA Walker-Smith, JB Watkins (eds). Philadelphia, BC Decker, 1991
Spigelman AD, Thompson JPS, Phillips RKS: Toward decreasing the relaparotomy rate in the Peutz-Jeghers syndrome: the role of peroperative small bowel endoscopy. Br J Surg 77:301–302, 1990
Sudduth RH, Bute BG, Schoelkopf L, Smith MT, Freeman SR, McNally P: Small bowel obstruction in a patient with Peutz-Jeghers syndrome: The role of intraoperative endoscopy. Gastrointest Endosc 38:69–72, 1992
Turck D, Bonnevalle M, Gottrand F, Farriaux J-P: Intraoperative endoscopic diagnosis of heterotopic gastric mucosa in the ileum causing recurrent acute intussusception. J Pediatr Gastroenterol Nutr 11:275–278, 1990
Nolan DJ, Piris J: Crohn's disease of the small intestine: a comparative study of the radiological and pathological appearances. Clin Sci 31:591–596, 1980
Janik JS, Ein SH, Mancer K: Intestinal stricture after necrotizing enterocolitis. J Pediatr Surg 16:438–443, 1981
Nanjundiah P, Lifschitz CH, Gopalakrishna GS, Cochran WJ, Klish WJ: Intestinal strictures presenting with gastrointestinal blood loss. J Pediatr Surg 24:174–176, 1989
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Duggan, C., Shamberger, R.C., Antonioli, D. et al. Intraoperative enteroscopy in the diagnosis of partial intestinal obstruction in infancy. Digest Dis Sci 40, 2236–2238 (1995). https://doi.org/10.1007/BF02209012
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02209012