Minimal invasive management of proximal small bowel bleeding: A case report and reviewing the evidences
Objective: Gastrointestinal bleeding is one of the surgical emergencies that is routinely visited in emergency departments. Although most of these patients are managed with endoscopic modalities, some of them are managed with surgical interventions. Most of emergency surgical interventions are do...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2023-01-01
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| Series: | Journal of Emergency Practice and Trauma |
| Subjects: | |
| Online Access: | http://www.jept.ir/article_92082_4b584be81aa2bb59e78f1660b4c2ac33.pdf |
| _version_ | 1797817451042308096 |
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| author | Mohammad Rezazadehkermani Seyed Vahid Hosseini |
| author_facet | Mohammad Rezazadehkermani Seyed Vahid Hosseini |
| author_sort | Mohammad Rezazadehkermani |
| collection | DOAJ |
| description | Objective: Gastrointestinal bleeding is one of the surgical emergencies that is routinely
visited in emergency departments. Although most of these patients are managed with
endoscopic modalities, some of them are managed with surgical interventions. Most of
emergency surgical interventions are done via laparotomy. With evolution in minimal
invasive surgery, the role of laparoscopic surgeries in emergency settings is on a rise.
Case Presentation: In this report we describe a case of lower gastrointestinal bleeding
that was presented with melena and during workups no bleeding lesion was detected
in colon, stomach or duodenum. Further investigations revealed bleeding of proximal
jejunum mass that was resected with the laparoscopic approach which is rarely used in
the emergency management of patients with gastrointestinal bleedings. Also, resection
and anastomosis of proximal jejunal loop was challenging in this case.
Conclusion: This report is intended to describe the feasibility of laparoscopy in proximal
small bowel lesion resection in emergency settings as well as the role of CT angiography in
detecting the source of obscure gastrointestinal bleeding. |
| first_indexed | 2024-03-13T08:53:36Z |
| format | Article |
| id | doaj.art-b613abebe6424e96beadde1c3bd9c463 |
| institution | Directory Open Access Journal |
| issn | 2383-4544 |
| language | English |
| last_indexed | 2024-03-13T08:53:36Z |
| publishDate | 2023-01-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Journal of Emergency Practice and Trauma |
| spelling | doaj.art-b613abebe6424e96beadde1c3bd9c4632023-05-29T06:06:05ZengKerman University of Medical SciencesJournal of Emergency Practice and Trauma2383-45442023-01-01916063https://doi.org/10.34172/jept.2022.12Minimal invasive management of proximal small bowel bleeding: A case report and reviewing the evidencesMohammad Rezazadehkermani0https://orcid.org/0000-0001-5675-9153Seyed Vahid Hosseini1https://orcid.org/0000-0002-9228-3567Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IranObjective: Gastrointestinal bleeding is one of the surgical emergencies that is routinely visited in emergency departments. Although most of these patients are managed with endoscopic modalities, some of them are managed with surgical interventions. Most of emergency surgical interventions are done via laparotomy. With evolution in minimal invasive surgery, the role of laparoscopic surgeries in emergency settings is on a rise. Case Presentation: In this report we describe a case of lower gastrointestinal bleeding that was presented with melena and during workups no bleeding lesion was detected in colon, stomach or duodenum. Further investigations revealed bleeding of proximal jejunum mass that was resected with the laparoscopic approach which is rarely used in the emergency management of patients with gastrointestinal bleedings. Also, resection and anastomosis of proximal jejunal loop was challenging in this case. Conclusion: This report is intended to describe the feasibility of laparoscopy in proximal small bowel lesion resection in emergency settings as well as the role of CT angiography in detecting the source of obscure gastrointestinal bleeding.http://www.jept.ir/article_92082_4b584be81aa2bb59e78f1660b4c2ac33.pdflaparoscopicsmall intestinedouble balloon enteroscopygastrointestinal stromal tumorcomputed tomography angiographygastrointestinal hemorrhage |
| spellingShingle | Mohammad Rezazadehkermani Seyed Vahid Hosseini Minimal invasive management of proximal small bowel bleeding: A case report and reviewing the evidences Journal of Emergency Practice and Trauma laparoscopic small intestine double balloon enteroscopy gastrointestinal stromal tumor computed tomography angiography gastrointestinal hemorrhage |
| title | Minimal invasive management of proximal small bowel bleeding: A case report and reviewing the evidences |
| title_full | Minimal invasive management of proximal small bowel bleeding: A case report and reviewing the evidences |
| title_fullStr | Minimal invasive management of proximal small bowel bleeding: A case report and reviewing the evidences |
| title_full_unstemmed | Minimal invasive management of proximal small bowel bleeding: A case report and reviewing the evidences |
| title_short | Minimal invasive management of proximal small bowel bleeding: A case report and reviewing the evidences |
| title_sort | minimal invasive management of proximal small bowel bleeding a case report and reviewing the evidences |
| topic | laparoscopic small intestine double balloon enteroscopy gastrointestinal stromal tumor computed tomography angiography gastrointestinal hemorrhage |
| url | http://www.jept.ir/article_92082_4b584be81aa2bb59e78f1660b4c2ac33.pdf |
| work_keys_str_mv | AT mohammadrezazadehkermani minimalinvasivemanagementofproximalsmallbowelbleedingacasereportandreviewingtheevidences AT seyedvahidhosseini minimalinvasivemanagementofproximalsmallbowelbleedingacasereportandreviewingtheevidences |