Usefulness of intraoperative endoscopy in pediatric surgery: state of the art
Borgogni, R.; Gaiani, F.; Di Mario, F.; Fornaroli, F.; Leandro, G.; Bizzarri, B.; Ghiselli, A.; De' Angelis, G.Luigi.; Casolari, E.
Acta Bio-Medica Atenei Parmensis 89(8-S): 77-81
2018
ISSN/ISBN: 0392-4203 PMID: 30561422 Document Number: 696422
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. 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. 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%. 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.