Methylene Blue Enteric Mapping for Intraoperative Localization in Obscure Small Bowel Hemorrhage: Report of a New Technique and Literature Review: Combined Intraoperative Methylene Blue Mapping and Enterectomy

Journal of Gastrointestinal Surgery

Volumn 16, Issue 11, 2012, Pages 2177-2181

  Gifford, Shaun M ^a   Peck, Michael A ^a   Reyes, Angel M ^b   Lundy, Jonathan B ^a  

^a SAN ANTONIO MILITARY MEDICAL CENTER   (United States)

^b WOMACK ARMY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84869104914     PISSN: 1091255X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11605-012-1964-9     Document Type: Article

References (45)

1. Raju GS, Gerson L, Das A, Lewis B. American gastroenterological association (AGA) institute technical review on obscure gastrointestinal bleeding. Gastroenterology 2007; 133: 1697-717.
2. Eshpuniyani PB, Kantharia CV, Prabhu RY, Supe AN. Intraoperative localization of vascular malformation of small bowel by selective intra-arterial dye injection. Saudi J Gastroenterol 2010; 16: 302-4.
3. Meyer CT, Troncale FJ, Galloway S, Sheahan DG. Arteriovenous malformation of the bowel: an analysis of 22 cases and a review of the literature. Medicine (Baltimore) 1981; 60: 36-48.
4. Moore JD, Thomson NW, Appelman HD, Foley D. Arteriovenous malformations of the gastrointestinal tract. Arch Surg 1976; 111: 381-9.
5. Marwick T, Kerlin P. Angiodysplasia of the upper gastrointestinal tract, clinical spectrum in 41 cases. J Clin Gastroenterol 1986; 8: 404-7.
6. Richter JH, Christensen MR, Colditz GA, Nishioka NS. Angiodysplasia: natural history and efficacy of therapeutic interventions. Dig Dis Sci 1989; 34: 1542-6.
7. Richter JH, Hedberg SE, Athanasoulis CA, Shapiro RH. Angiodysplasia: clinical presentation and colonoscopic diagnosis. Dig Dis Sci 1984; 29: 481-5.
8. Lau WY, Chu KW, Yuen WD, Poon GP, Li AK. Bleeding angiodysplasia of the gastrointestinal tract. Aust N Z J Surg 1992; 62: 344-9.
9. Lewis BS, Waye JD. Chronic gastrointestinal bleeding of obscure origin: role of small bowel enteroscopy. Gastroenterology 1988; 94: 1117-20.
10. Folger R, Golembe E. Methylene blue injection. An intraoperative guide in small bowel resection for arteriovenous malformation. Arch Surg 1978; 113: 194-5.
11. Bambach CP, Coupland GA, Sorby W, Roche J. Angiodysplasia of the small bowel: a method of intraoperative identification. Aust N Z J Surg 1978; 48: 317-21.
12. Rubio PA, Farrell EM. A new technique for identifying bleeding diverticula of the small bowel utilizing methylene blue infusion. Surgery 1980; 86: 764.
13. Athanasoulis CA, Moncure AC, Greenfield AJ, Ryan JA, Dodson TF. Intraoperative localization of small bowel bleeding sites with combined use of angiographic methods and methylene blue injection. Surgery 1980; 87: 77-84.
14. Crawford ES, Roehm JO Jr, McGavran MH. Jejunoileal arteriovenous malformation. Localization for resection by segmental bowel staining techniques. Ann Surg 1980; 191: 404-9.
15. Beaton HL. Small intestinal bleeding. Method for intraoperative localization. N Y State J Med 1982; 82: 171-4.
16. Becker GJ, Park HM, O'Connor KW, Tarver RD, Scott JA, Jackson VP, Lappas JC, Broadie TA, Holden RW. Portal hypertension due to jejunal vascular malformation. Gastrointest Radiol 1985; 10: 349-51.
17. Zuckerman DA, Gaz RD. Catheter-guided intraoperative localization of a jejunal angiodysplasia using the Tracker-18 coaxial catheter system: case report. Cardiovasc Intervent Radiol 1991; 14: 358-9.
18. Lau WY, Yuen WK, Chu KW, Poon GP, Li AK. Obscure bleeding in the gastrointestinal tract originating in the small intestine. Surg Gynecol Obstet 1992; 174: 119-24.
19. Ohri SK, Jackson J, Desa LA, Spencer J. The intraoperative localization of the obscure bleeding site using fluoroscein. J Clin Gastroineterol 1992; 14: 331-4.
20. McDonald ML, Farnell MB, Stanson AW, Ress AM. Preoperative highly selective catheter localization of occult small-intestinal hemorrhage with methylene blue. Arch Surg 1995; 130: 106-8.
21. Schrodt JF, Bradford WR. Presurgical angiographic localization of small bowel bleeding site with methylene blue injection. J KY Med Assoc 1996; 94: 192-5.
22. Phillips DA, Wertheimer MD, Patwardhan N, Swanson R, Zawacki J. Preoperative angiography and embolization of the site of intermittent acute small bowel bleeding with a radiopaque microcoil: facilitated precise surgical excision of the source. Surgery 1996; 119: 714-7.
23. Defreyne L, Verstraeten V, De Potter C, Pattyn P, De Vos M, Kunnen M. Jejunal arteriovenous malformation, diagnosed by angiography and treated by embolization and catheter-guided surgery: case report and review of literature. Abdom Imaging 1998; 23: 127-31.
24. Mazziotti MV, Muldowney S, Darcy M, Hackett BP, Skinner MA. Intraoperative localization of small intestinal bleeding in an infant by methylene blue injection: a case report. J Pediatr Surg 1998; 33: 754-5.
25. Robinson MH, Hussain SA. Selective angiographic catheterisation for jejunal angiodysplasia Postgrad Med J 2001; 77: 205.
26. Schechter S, Deorchis D, Bass J, Marcoux DA. Angiographic selective methylene blue staining of an occult small-bowel arteriovenous malformation. Am Surg 2002; 68: 15-7.
27. Remzi FH, Dietz DW, Unal E, Levitin A, Sands MJ, Fazio VW. Combined use of preoperative provocative angiography and highly selective methylene blue injection to localize an occult small-bowel bleeding site in a patient with Crohn's disease. Report of a case. Dis Colon Rectum 2003; 46: 260-3.
28. Pasupathy S, Lau TN, Chia KH. Methylene blue injection to localize the site of small intestinal hemorrhage. ANZ J Surg 2004; 74: 1133-4.
29. Mukai M, Ibusuki K, Gotoh T, Yamamoto A, Nakashima K, Mutoh M, Taniquchi S, Kawano M, Kihara Y, Koga K. Intraoperative fluoroscopic detection of an occult jejunal arteriovenous malformation. J Laparoendosc Adv Surg Tech 2006; 16: 45-7.
30. Stauffer JA, Shaddix KK, Achem SR, Stark M, Adelson A, Metzger PP, Landmann RG. Intra-operative use of super-selective or highly selective angiography with methylene blue injection to localize arterial-venous malformation. Colorectal Dis 2011; 13: e65-6.
31. Scherer K, Bircher AJ, Figueiredo V. Blue dyes in medicine-a confusing terminology. Contact Dermatitis 2006; 54: 231-2.
32. Jasinski RW, Smith DC, Chase DR, Field FL. Angiographic preoperative bowel segment localization using methylene blue, isosulfan blue, and fluoroscein. Invest Radiol 1987; 22: 462-6.
33. Lau WY, Wong SY, Ngan H, et al. Intra-operative localization of bleeding small intestinal lesions. Br J Surg 1988; 76: 249-51.
34. Richardson JD, Max MH, Flint LM Jr, Schweisinger W, Howard M, Aust JB. Bleeding vascular malformations of the intestine. Surgery 1978; 84: 430-6.
35. Boley SJ, Sammartano R, Adams A, DiBiase A, Kleinhaus S, Sprayregen S. On the nature and etiology of vascular ectasias of the colon. Gastroenterology 1977; 72: 650-60.
36. Baum S, Athanasoulis CA, Waltman AC, Galdabini J, Schapiro RH, Warshaw AL, Ottinger LW. Angiodysplasia of the right colon. A cause of gastrointestinal bleeding. AJR Am J Roentgenol 1977; 129: 789-94.
37. Retzlaff JA, Hegldorn AB, Bartholomew LG. Abdominal exploration for bleeding of obscure origin. JAMA 1961; 177: 104-7.
38. Reed DK, Porter LE, Zajko AB, Moore SF, Bron KM, van Thiel DH. Pre- and intraoperative localization of small bowel arteriovenous malformation. J Clin Gastroenterol 1986; 8: 166-70.
39. Nazem Z, Petrocelli J, Hobson RW. Arteriovenous malformations of the cecum: operative localization by Doppler ultrasound. Am Surg 1979; 45: 538-40.
40. Pinkerton JA. Intraoperative Doppler localization of intestinal arteriovenous malformation. Surgery 1979; 85: 472-4.
41. Evans WE, O'Dorisio TM, Molnar W, Martin EW Jr, Wooley CF, Cooperman M. Intraoperative localization of arteriovenous malformation. Arch Surg 1978; 113: 410-2.
42. Fazio VW, Zelas P, Weakley FL. Intraoperative angiography and the localization of bleeding from the small bowel. Surg Gynecol Obstet 1980; 151: 637-40.
43. Alfidi RJ, Esseltyn CD, Tarar R, Klein HJ, Hermann RE, Weakley FL, Turnbull RB Jr. Recognition and angio-surgical detection of arteriovenous malformation of the bowel. Ann Surg 1971; 174: 573-82.
44. Kandarpa K, Fellows KE, Eraklis A, Flores A. Solitary ileal arteriovenous malformation: preoperative localization by coil embolization. AJR Am J Roentgenol 1986; 146: 787-8.
45. Schmidt SP, Boskind JF, Smith DC, Catalano RD. Angiographic localization of small bowel angiodysplasia with use of platinum coils. J Vasc Interv Radiol 1993; 4: 737-9.