Category Archives: Intraoperative enteroscopy

Management of the recurrent sternal wound infection: MATERIALS AND METHODS (part 2)

Case 1 A 70-year-old woman, 22 months after median sternotomy for left internal mammary artery coronary artery bypass grafting, developed a left mid-sternal abscess requiring bone and cartilage debridement by the cardiothoracic service. Twenty years previously she had had a … Continue reading

NSAID-induced small bowel diaphragms and strictures diagnosed with intraoperative enteroscopy: SUMMARY

NSAID-induced damage in the small intestine may manifest as ulceration, strictures and enteropathy. These lesions should be considered in any patient who has taken NSAIDs and presents with acute obscure gastrointestinal hemorrhage, small bowel obstruction, or chronic occult gastrointestinal blood … Continue reading

NSAID-induced small bowel diaphragms and strictures diagnosed with intraoperative enteroscopy: DISCUSSION Part 3

The two cases presented here emphasize the difficulty in diagnosing NSAID-induced small bowel diaphragms and ulcers. A high degree of clinical suspicion should be maintained in the patient taking NSAIDs who presents with obscure gastrointestinal bleeding or unexplained small bowel … Continue reading

NSAID-induced small bowel diaphragms and strictures diagnosed with intraoperative enteroscopy: DISCUSSION Part 2

Ulceration in the small intestine can lead to hemorrhage or perforation. A common scenario involves a patient with acute gastrointestinal hemorrhage while taking NSAIDs who has no obvious source of bleeding in the stomach, duodenum or colon after routine endoscopic … Continue reading

NSAID-induced small bowel diaphragms and strictures diagnosed with intraoperative enteroscopy: DISCUSSION Part 1

NSAIDs are among the most widely used drugs due to their potent analgesic, antipyretic and anti-inflammatory properties. The majority of adverse effects of NSAID use occur within the gastrointestinal tract. Gastroduodenal ulceration, hemorrhage, perforation and gastric outlet obstruction are well-documented … Continue reading

NSAID-induced small bowel diaphragms and strictures diagnosed with intraoperative enteroscopy: CASE PRESENTATION Part 2

Case 2: A 49-year-old man was referred to the authors’ institution for evaluation of recurrent small bowel obstruction. He reported a total of 26 episodes of partial small bowel obstruction that had responded to conservative treatment over the previous six … Continue reading

NSAID-induced small bowel diaphragms and strictures diagnosed with intraoperative enteroscopy: CASE PRESENTATION Part 1

Case 1: A 52-year-old man was referred to the authors’ institution with recurrent obscure gastrointestinal bleeding and iron-deficiency anemia. He initially presented two years previously with melena and hemoglobin of 0.868 mmol/L. Results of an upper gastrointestinal series with small … Continue reading

NSAID-induced small bowel diaphragms and strictures diagnosed with intraoperative enteroscopy

Gastroduodenal mucosal damage is a known side effect more distal small bowel and colon. Reported lesions in the of nonsteroidal anti-inflammatory drugs (NSAIDs) small intestine associated with NSAID use have included. NSAIDs have also been reported to cause lesions in … Continue reading