Endoscopy in the Surgically Altered Bowel

Jason Schairer; Hamna Fahad

doi:10.1016/j.giec.2022.05.009

Endoscopy in the Surgically Altered Bowel

Gastrointest Endosc Clin N Am. 2022 Oct;32(4):777-799. doi: 10.1016/j.giec.2022.05.009.

Authors

Jason Schairer¹, Hamna Fahad²

Affiliations

¹ Division of Gastroenterology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA. Electronic address: Jschair2@hfhs.org.
² Division of Gastroenterology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.

PMID: 36202516
DOI: 10.1016/j.giec.2022.05.009

Abstract

Improved utilization of surgical interventions to improve patient outcomes has led to an increased need to endoscopically evaluate and treat the bowel after surgery. The best outcomes are attained when the endoscopist coordinates with the surgeon, and in some cases the pathologist or radiologist to plan the procedure. Understanding the anatomy and pathology anticipated can allow planning for sedation, bowel cleanse and equipment needed. Surgically altered anatomy can create challenges that with planning can be overcome. This article will review how to prepare and navigate several of the most commonly encountered surgical interventions.

Keywords: Endoscopy in surgically altered bowel; Hepaticojejunostomy (HJ); Ileal pouch anal anastamosis (IPAA); Ostomy; Roux-en Y gastric Bypass (RYGB).

Publication types

Review

MeSH terms

Endoscopy, Gastrointestinal* / methods
Gastric Bypass* / methods
Humans
Intestines