caa a22 4500 475781465 CHVBK 20180406123645.0 cr unu---uuuuu 170329e20000201xx s 000 0 eng 10.1007/s004649900081 doi (NATIONALLICENCE)springer-10.1007/s004649900081 Balloon-tipped cannulas for use in laparoscopic diagnosis and treatment of acute upper GI bleeding [Elektronische Daten] [J. Hannon, L. Snow, L. Weinstein, D. Lane] Background: Percutaneous balloon-tipped laparoscopic cannulas designed for preperitoneal hernia repair can be readily used to treat gastric bleeding laparoscopically. Methods: Between 1995 and 1997, we successfully used balloon-tipped cannulas to visualize, biopsy, and suture acutely bleeding gastric lesions in five patients. These case histories are reviewed for this study. Results: Patients received an average of six units of blood preoperatively (range, 0-15). Operative time averaged 207 min (range, 149-270). At surgery, gastrotomies were made for cannula placement under laparoscopic visualization. Operative findings included: lesser curve gastric ulcer, Mallory-Weiss tear, prepyloric ulcer, duodenal ulcer, and angiosarcoma. Three patients had successful percutaneous suture of bleeding gastric lesions. One patient was converted to open surgery. One patient had local resection of an angiosarcoma. Conclusion: The laparoscopic use of balloon-tipped cannulas allows the expeditious diagnosis and treatment of acute gastric hemorrhage. Springer-Verlag New York Inc., 2000 Key words: Laparoscopic endoluminal surgery — Gastric bleeding — Balloon-tipped cannulas nationallicence Hannon J. Department of Surgery, Mobile Infirmary Medical Center, 3 Mobile Infirmary Circle, Suite 212, Mobile, AL 36607, USA, USA aut Snow L. Department of Surgery, Mobile Infirmary Medical Center, 3 Mobile Infirmary Circle, Suite 212, Mobile, AL 36607, USA, USA aut Weinstein L. Department of Surgery, Mobile Infirmary Medical Center, 3 Mobile Infirmary Circle, Suite 212, Mobile, AL 36607, USA, USA aut Lane D. Department of Surgery, Mobile Infirmary Medical Center, 3 Mobile Infirmary Circle, Suite 212, Mobile, AL 36607, USA, USA aut Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 123-126 0930-2794 14:2<123 2000 14 464 https://doi.org/10.1007/s004649900081 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900081 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hannon J. Department of Surgery, Mobile Infirmary Medical Center, 3 Mobile Infirmary Circle, Suite 212, Mobile, AL 36607, USA, USA aut NATIONALLICENCE 700 1- Snow L. Department of Surgery, Mobile Infirmary Medical Center, 3 Mobile Infirmary Circle, Suite 212, Mobile, AL 36607, USA, USA aut NATIONALLICENCE 700 1- Weinstein L. Department of Surgery, Mobile Infirmary Medical Center, 3 Mobile Infirmary Circle, Suite 212, Mobile, AL 36607, USA, USA aut NATIONALLICENCE 700 1- Lane D. Department of Surgery, Mobile Infirmary Medical Center, 3 Mobile Infirmary Circle, Suite 212, Mobile, AL 36607, USA, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 123-126 0930-2794 14:2<123 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer