Endoscopic gastrojejunostomy with a natural orifice transluminal endoscopic surgery technique
| Autor: | Dong Wan Seo, Myung-Hwan Kim, Sung Koo Lee, Sang Soo Lee, Su Hui Kim, Do Hyun Park, Tae Jun Song |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Endoscopes
Natural Orifice Endoscopic Surgery medicine.medical_specialty Time Factors Brief Article medicine.diagnostic_test Swine business.industry Suture Techniques Gastric bypass Gastric Bypass Gastroenterology Anastomotic Leak General Medicine Natural orifice transluminal endoscopic surgery Surgery Endoscopy Models Animal medicine Animals Feasibility Studies Swine Miniature Female business |
| Zdroj: | World Journal of Gastroenterology. 19:3447 |
| ISSN: | 1007-9327 |
| DOI: | 10.3748/wjg.v19.i22.3447 |
| Popis: | To determine the technical feasibility and safety of an endoscopic gastrojejunostomy with a pure natural orifice transluminal endoscopic surgery (NOTES) technique using a T-anchoring device in a porcine survival model.An endoscopic gastrojejunostomy with a pure NOTES technique using a T-anchoring device was performed on 10 healthy female minipigs weighing approximately 40 kg each under general anesthesia. All procedures were performed with a transgastric approach using a 2-channel therapeutic endoscope.The transgastric gastrojejunostomy was technically successful in all cases. A total of four to six stitched pairs of a T-anchoring device were used to secure the anastomosis. The median time required to enter the peritoneal cavity and pull the small bowel into the stomach was 34 min (range: 19-41 min); the median time required to suture the anastomosis was 67 min (range: 44-78 min). An obstruction of the efferent limb occurred in one case, and a rupture of the anastomosis site occurred in another case. As a result, the functional success rate was 80% (8/10). Small bowel adhesion to the stomach and liver occurred in one case, but the anastomosis was intact without leakage or obstruction.A transgastric gastrojejunostomy with a T-anchoring device may be safe and technically feasible. A T-anchoring device may provide a simple and effective endoscopic suturing method. |
| Databáze: | OpenAIRE |
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