Post-surgical endoscopic evaluation has become a rewarding procedure
to evaluate the outcome of certain surgical procedures. In patients that
have undergone gastrectomy , endoscopy proves to be an invaluable method
to visually examine the sites of anastomosis and to look for marginal
ulcers as well as to rule out the existance of residual carcinoma.at a
later period. Surgical procedures of the colon also benefit from this
57 year old female patient who underwent colon surgery with ileo-transverse
anastomosis over a year ago because of a cecum carcinoma. After presenting
signs of intestinal obstruction over a course of three days, patient was
admitted to hospital for further evaluation.
The cause of intestinal obstruction can be seen when examining the
ileo-transverse anastomosis which is totally occluded, due to an unspecific
inflammatory reaction. See the image on the right. The suture granuloma
can be found towards the left side, at the end of the colon.
The endoscope was introduced into the ileon, over a distanced of
more than one meter. The colonoscopy had a therapeutic effect and the
patient evolved satisfactorily, with resolution of the obstruction.
99 year old patient showed this endoscopic image of the duodenal
bulb. Patient had a history of cholecystectomy and bilio-digestive surgery
forty years ago. Note the small fistula towards the left side of the image
which displays some bubbleing.
Nodulations caused by suture proved to be of similar appearance as
72 year old male who was diagnosed with a pre-pyloric carcinoma in
1991. Findings are commensurate with subtotal gastrectomy. Note the small
granulomas caused by suture material.