Intraoperative angiography with indocyanine green injection for precise localization and resection of small bowel bleeding.

ABSTRACT:

Aim

Bleeding in the small bowel rarely occurs, and its treatment is challenging. Surgery is sometimes required in unstable patients; however, intraoperative identification of the bleeding site is extremely difficult. Many methods have been reported, but no standard strategy has been established yet. Here, we aimed to assess the safety and feasibility of intraoperative angiography with indocyanine green staining to accurately identify small bowel bleeding sites.

Methods

This retrospective study analyzed contrast-enhanced computed tomography images of patients (n = 8) with small bowel extravasation who underwent surgery. If extravasation or other vessel abnormalities that were potential bleeding sites were detected on intraoperative angiography, a microcatheter was plac

SUBMITTER: Kawachi J 

PROVIDER: S-EPMC7426192 | biostudies-literature | 2020 Jan-Dec

REPOSITORIES: biostudies-literature