Real-time intra-operative endoscopic fluorescence imaging for evaluation of bowel perfusion in the setting of ischemic colitis

Sam Atallah, MD, FACS, FASCRS, Francisco Quinteros, MD, Henry Schoonyoung, MD, Beatriz Martin-Perez, MD, Lawna Hunter, BA, Sergio Larach, MD. Florida Hospital.

A patient with multiple co-morbidities presented with the dual diagnosis of left-sided ischemic colitis extending to the splenic flexure and a bulky neoplasm in the distal sigmoid colon. During laparoscopic sigmoid resection, the ischemic segment was assessed using real-time intra-operative fluorescence, and novel intra-luminal application of this technique. Utilization of this approach allowed the surgeon to preserve bowel without compromising surgical outcome, as demonstrated in this video.

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