New technique of intragastric sleeve: viability and survival in a pig model
| Autor: | Luciana de Macêdo Mello, Jussara Peters Scheffer, Vilson L Batista, Haroldo José S Igreja Junior, André Lacerda de Abreu Oliveira, Saulo José Quina Silva, Silvia M R Cadena, Marcelo Borges dos Santos Junior, Mariana da Silva Ribeiro, Ricardo Zorron, Fernanda Antunes |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Time Factors Swine medicine.medical_treatment Operative Time single-port invasiviness 03 medical and health sciences 0302 clinical medicine Port (medical) Blood loss Pneumoperitoneum Gastrectomy Surgical Stapling medicine Animals Gastric sleeve lcsh:Science bariatric Multidisciplinary business.industry Stomach Reproducibility of Results Pig model medicine.disease Gastrostomy Obesity Morbid Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Models Animal Feasibility Studies Laparoscopy lcsh:Q 030211 gastroenterology & hepatology intragastric plicature Pouch business |
| Zdroj: | Anais da Academia Brasileira de Ciências, Vol 90, Iss 3, Pp 3075-3080 Anais da Academia Brasileira de Ciências, Volume: 90, Issue: 3, Pages: 3075-3080, Published: SEP 2018 Anais da Academia Brasileira de Ciências v.90 n.3 2018 Anais da Academia Brasileira de Ciências Academia Brasileira de Ciências (ABC) instacron:ABC |
| ISSN: | 1678-2690 0001-3765 |
| DOI: | 10.1590/0001-3765201820180199 |
| Popis: | Developing a less invasive, practical and cost-effective operative technique for obesity treatment represents a pressing need for our society. In this way, intragastric single port sleeve by endoplication was tested in six pigs during 18 weeks. Celiotomy was performed with animal placed in dorsal decubitus position. Single port gastrostomy was performed and double tobacco pouch sutures were made in fundic region, making a gastric sleeve. At the end, stomach layers and skin were closed in a conventional manner. Means and the standard deviations of surgical time were calculated. The procedure was simple and all animals survived; there were no significant blood loss and no intra and postoperative complications. The procedure was fast (67.4 minutes). The technique has the advantage of not requiring the use of mechanical sutures, making it less costly. The innovation of this procedure was the use of a single port gastrostomy device to perform an intraluminal sleeve. What made this technique less invasive were the use of a single port, nonmanipulation of the stomach intra-abdominally, ease of execution and no need of pneumoperitoneum. The new technique is acceptable and has reproducible viability, had a short procedure time without intra and postoperative complications. |
| Databáze: | OpenAIRE |
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