Usefulness of intraoperative endoscopy in pediatric surgery: state of the art

Usefulness of intraoperative endoscopy in pediatric surgery: state of the art

Authors

  • Rachele Borgogni Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Federica Gaiani Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Francesco Di Mario Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Fabiola Fornaroli Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Gioacchino Leandro National Institute of Gastroenterology “S. De Bellis” Research Hospital, Castellana Grotte, Italy
  • Barbara Bizzarri Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Alessia Ghiselli Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Gian Luigi de' Angelis Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Emilio Casolari Pediatric Surgery Unit, Pietro Barilla Children Hospital, University Hospital of Parma, Parma, Italy

Keywords:

intraoperative endoscopy, pediatric gastroenterology, esophagogastroduodenoscopy, enteroscopy

Abstract

Introduction: Intraoperative endoscopy is a procedure that supports open and laparoscopic surgery, helping the surgeon to identify the presence of endoluminal gastrointestinal lesions which need to be treated, with a correct diagnosis and an adequate therapy. Material and methods: A search on PubMed was performed using “intraoperative esophagoscopy”, “intraoperative duodenoscopy”, and “intraoperative enteroscopy” as Mesh terms. The applied exclusion criteria were: papers written before 2000, not concerning pediatric or gastrointestinal pathology, literature-review articles, language different from English. Results: Sixteen studies from 2000 to 2018 were included. Overall, 1210 patients were treated. Different pathologies were considered. Complications were observed in a range of 0.3-14%. The most frequent complications were perforation, bleeding and mucosal tear. Mortality ranged between 0.7% and 1,2%. Conclusion: Intraoperative endoscopy is an indispensable tool for gastrointestinal surgery. In the hands of experienced endoscopists, intraoperative endoscopy can be performed safely, in time-efficient manner, facilitating diagnosis and treatment.

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Published

17-12-2018

How to Cite

1.
Usefulness of intraoperative endoscopy in pediatric surgery: state of the art. Acta Biomed [Internet]. 2018 Dec. 17 [cited 2024 May 22];89(8-S):77-81. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/7890

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