HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Natural orifice transluminal endoscopic surgery gastroenterostomy with a biflanged lumen-apposing stent: first clinical experience (with videos).

AbstractBACKGROUND:
We established feasibility and safety for natural orifice transluminal endoscopic surgery (NOTES) GI anastomosis with a lumen-apposing stent in live pigs. This approach was performed in 3 patients.
OBJECTIVE:
Creation of a NOTES gastroduodenal anastomosis in patients.
DESIGN:
Case series.
SETTING:
Two tertiary-care referral centers at large academic hospitals in France and in the United States.
PATIENTS:
Patients with refractory benign duodenal stenosis and malignant duodenal obstruction.
INTERVENTION:
NOTES GI anastomosis with a lumen-apposing stent.
MAIN OUTCOME MEASUREMENTS:
Disappearence of gastric outlet obstruction.
RESULTS:
All 3 procedures were technically successful and uneventful, except 1 minor adverse event. There were no instances of stent occlusion or migration during follow-up. All patients resumed a normal diet.
LIMITATIONS:
Small case series.
CONCLUSION:
NOTES gastroenteric anastomosis is feasible and safe in humans. A prospective pilot study is warranted.
AuthorsMarc Barthet, Kenneth F Binmoeller, Geoffroy Vanbiervliet, Jean-Michel Gonzalez, Todd H Baron, Stéphane Berdah
JournalGastrointestinal endoscopy (Gastrointest Endosc) Vol. 81 Issue 1 Pg. 215-8 (Jan 2015) ISSN: 1097-6779 [Electronic] United States
PMID25527056 (Publication Type: Case Reports, Journal Article, Video-Audio Media)
CopyrightCopyright © 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
Topics
  • Adenocarcinoma (complications)
  • Adult
  • Aged
  • Duodenal Obstruction (etiology, surgery)
  • Endoscopy, Gastrointestinal (methods)
  • Gastric Bypass (methods)
  • Humans
  • Intestinal Atresia
  • Male
  • Natural Orifice Endoscopic Surgery
  • Pancreatic Neoplasms (complications)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: