Laparoscopic operations in patients with profuse bleeding from tumor of small intestine
EAES Academy. Grubnik Y. 07/05/22; 363009; P052
Prof. Dr. Yuri Grubnik
Contributions
Contributions
Abstract
Aim
Reducing mortality and postoperative complications by performing laparoscopic operations in patients with profuse bleeding from tumor of small intestine.
Methods and materials
Over the past 3 years, 1865 patients with bleeding from the gastrointestinal tract have been admitted to the clinic. Out of them, 1176 patients with bleeding from the stomach and duodenum. In 681 patients, bleeding is caused by the pathology of the large intestine. In 8 patients, video endoscopy did not reveal a source of bleeding from the stomach and duodenum. Colonoscopic examination of the rectum and colon did not reveal the source of bleeding from the large intestine. In 5 patients profuse bleeding was repeated during their stay in the department. In 6 cases, the patients underwent CT with intravenous injection of a contrast agent. In 2 cases, CT scan with contrast was not performed due to high levels of urea and creatinine. In that cases was performed examination of the small intestine using the intraluminal capsules.
Results
Out of 8 patients, GIST was detected in 5 cases. Laporoscopic resection of the small intestine was produced with further performing enteroenteral anastomoses. Due to histological examination of malignant cells in the tumor and lymph nodes were not found. In 3 cases, laparoscopic resection of the small intestine was also performed for intestinal adenocarcinoma with lymph node dissection. In 1 patient, the postoperative period was complicated by an intra-abdominal abscess, which was drained under ultrasound control. There were no lethal cases.
Conclusions:
Laparoscopic surgery reduces blood loss, postoperative complications and mortality.
Reducing mortality and postoperative complications by performing laparoscopic operations in patients with profuse bleeding from tumor of small intestine.
Methods and materials
Over the past 3 years, 1865 patients with bleeding from the gastrointestinal tract have been admitted to the clinic. Out of them, 1176 patients with bleeding from the stomach and duodenum. In 681 patients, bleeding is caused by the pathology of the large intestine. In 8 patients, video endoscopy did not reveal a source of bleeding from the stomach and duodenum. Colonoscopic examination of the rectum and colon did not reveal the source of bleeding from the large intestine. In 5 patients profuse bleeding was repeated during their stay in the department. In 6 cases, the patients underwent CT with intravenous injection of a contrast agent. In 2 cases, CT scan with contrast was not performed due to high levels of urea and creatinine. In that cases was performed examination of the small intestine using the intraluminal capsules.
Results
Out of 8 patients, GIST was detected in 5 cases. Laporoscopic resection of the small intestine was produced with further performing enteroenteral anastomoses. Due to histological examination of malignant cells in the tumor and lymph nodes were not found. In 3 cases, laparoscopic resection of the small intestine was also performed for intestinal adenocarcinoma with lymph node dissection. In 1 patient, the postoperative period was complicated by an intra-abdominal abscess, which was drained under ultrasound control. There were no lethal cases.
Conclusions:
Laparoscopic surgery reduces blood loss, postoperative complications and mortality.
Aim
Reducing mortality and postoperative complications by performing laparoscopic operations in patients with profuse bleeding from tumor of small intestine.
Methods and materials
Over the past 3 years, 1865 patients with bleeding from the gastrointestinal tract have been admitted to the clinic. Out of them, 1176 patients with bleeding from the stomach and duodenum. In 681 patients, bleeding is caused by the pathology of the large intestine. In 8 patients, video endoscopy did not reveal a source of bleeding from the stomach and duodenum. Colonoscopic examination of the rectum and colon did not reveal the source of bleeding from the large intestine. In 5 patients profuse bleeding was repeated during their stay in the department. In 6 cases, the patients underwent CT with intravenous injection of a contrast agent. In 2 cases, CT scan with contrast was not performed due to high levels of urea and creatinine. In that cases was performed examination of the small intestine using the intraluminal capsules.
Results
Out of 8 patients, GIST was detected in 5 cases. Laporoscopic resection of the small intestine was produced with further performing enteroenteral anastomoses. Due to histological examination of malignant cells in the tumor and lymph nodes were not found. In 3 cases, laparoscopic resection of the small intestine was also performed for intestinal adenocarcinoma with lymph node dissection. In 1 patient, the postoperative period was complicated by an intra-abdominal abscess, which was drained under ultrasound control. There were no lethal cases.
Conclusions:
Laparoscopic surgery reduces blood loss, postoperative complications and mortality.
Reducing mortality and postoperative complications by performing laparoscopic operations in patients with profuse bleeding from tumor of small intestine.
Methods and materials
Over the past 3 years, 1865 patients with bleeding from the gastrointestinal tract have been admitted to the clinic. Out of them, 1176 patients with bleeding from the stomach and duodenum. In 681 patients, bleeding is caused by the pathology of the large intestine. In 8 patients, video endoscopy did not reveal a source of bleeding from the stomach and duodenum. Colonoscopic examination of the rectum and colon did not reveal the source of bleeding from the large intestine. In 5 patients profuse bleeding was repeated during their stay in the department. In 6 cases, the patients underwent CT with intravenous injection of a contrast agent. In 2 cases, CT scan with contrast was not performed due to high levels of urea and creatinine. In that cases was performed examination of the small intestine using the intraluminal capsules.
Results
Out of 8 patients, GIST was detected in 5 cases. Laporoscopic resection of the small intestine was produced with further performing enteroenteral anastomoses. Due to histological examination of malignant cells in the tumor and lymph nodes were not found. In 3 cases, laparoscopic resection of the small intestine was also performed for intestinal adenocarcinoma with lymph node dissection. In 1 patient, the postoperative period was complicated by an intra-abdominal abscess, which was drained under ultrasound control. There were no lethal cases.
Conclusions:
Laparoscopic surgery reduces blood loss, postoperative complications and mortality.
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