術中小腸内視鏡が有用であった小腸vascular ectasiaの1例

概要

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A 74-year old man, who had been followed up due to valvular disease and atrial flutter for 6 years, was admitted to our hospital because of severe anemia (Hb 7.0 g/dl). Bleeding point was not found out on gastroscopy, colonoscopy and other examinations. Surgery was performed under the diagnosis of bleeding from the small intestine. Skin incision (6cm) was made to enter the peritoneal cavity, and endoscope was sent to the Bauhin's valve by hand. Intraoperative endoscopic examination showed a small erosion with active bleeding at the 80cm proximal to the ileocecal valve, and partial resection of the ileum was performed. Pathological findings of resected specimen revealed the vascular ectasia in the small intestine. After operation the anemia was getting better, and he was discharged on postoperative day 25. We should think that intraoperative endoscopy was useful for diagnosis of bleeding in the small intestine.
新潟大学の論文
2004-03-10