2013 - ISBTS 2013 Symposium


This page contains exclusive content for the member of the following sections: TTS, IXA, ITA. Log in to view.

Posters and Exhibition

15.22 - Double Balloon Enteroscopy assessment as a relevant approach to evaluate the evolution and diagnosis of enteric failure complications.

Presenter: Flavio, Galvao, , Brazil
Authors: FLAVIO GALVAO1, ANDRE LEE1, ADRIANA RIBEIRO1, ANDRE DAVID1, RUY CRUZ1, WANGLES SOLLER1, RAFAEL PECORA1, LUIZ CARNEIRO D'ALBUQUERQUE1

Double Balloon Enteroscopy assessment as a relevant approach to evaluate the evolution and diagnosis of enteric failure complications.

FLAVIO GALVAO1, ANDRE LEE1, ADRIANA RIBEIRO1, ANDRE DAVID1, RUY CRUZ1, WANGLES SOLLER1, RAFAEL PECORA1, LUIZ CARNEIRO D'ALBUQUERQUE1

1UNIVERSITY OF SAO PAULO SCHOOL OF MEDICINE, SAO PAULO, Brazil

The clinical evolution of patients with enteric failure is frequently intricate and the complications related to this condition are often difficult to be identified. Aim - In this study we describe the follow up of 7 patients with enteric failure submitted to frequent enteroscopy to evaluate their enteric failure complications. Patients casuistic – Seven patients were considered for a period of about two years after the diagnosis of enteric failure. The patient’s age ranged from 17 to 44 years old, for men and three women. The diagnosis of enteric failure include complex portomesenteric thrombosis (VI degree) with portal hypertensive enteropathy causing intestinal claudication due to hereditary thrombophilia; short bowel due to arteritis of superior mesenteric artery caused by Sjogren syndrome; short bowel following intestinal obstruction due to adherence of previous surgery; short bowel arteritis due to intoxication with anabolic steroids; short bowel due to congenic disorders of intestinal rotation and fixation in two cases and necrotized volvulus of the intestine in postpartum. Results All patients were submitted to at least three enteroscopy assessments during the study period. In all cases this procedure was efficient in the aspect of intestinal mucosa and the length of the remnant intestine. Enteroscopy was also efficient to identify segmental intestinal perforation blocked by the epiploon due to ischemic necrosis, with mild abdominal symptoms, indicating an urgent abdominal operation in one case. In one case it was efficient to evaluate the severityof chronic mesenteric ischemia due to the portalcongestive enteropathy. Conclusion; Double Balloon Enteroscopy was efficient in assess the complications of enteric failure, to determine the length and the aspect of the remnant intestine and may be a good exam for the routine of the patient care in pre-operatory of surgical intestinal rehabilitation or intestinal transplantation.


Important Disclaimer

By viewing the material on this site you understand and accept that:

  1. The opinions and statements expressed on this site reflect the views of the author or authors and do not necessarily reflect those of The Transplantation Society and/or its Sections.
  2. The hosting of material on The Transplantation Society site does not signify endorsement of this material by The Transplantation Society and/or its Sections.
  3. The material is solely for educational purposes for qualified health care professionals.
  4. The Transplantation Society and/or its Sections are not liable for any decision made or action taken based on the information contained in the material on this site.
  5. The information cannot be used as a substitute for professional care.
  6. The information does not represent a standard of care.
  7. No physician-patient relationship is being established.

Social

Contact

Staff Directory
+1-514-874-1717
info@tts.org

Address

The Transplantation Society
International Headquarters
740 Notre-Dame Ouest
Suite 1245
Montréal, QC, H3C 3X6
Canada