Abstract | BACKGROUND: 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.
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Authors | Marc Barthet, Kenneth F Binmoeller, Geoffroy Vanbiervliet, Jean-Michel Gonzalez, Todd H Baron, Stéphane Berdah |
Journal | Gastrointestinal endoscopy
(Gastrointest Endosc)
Vol. 81
Issue 1
Pg. 215-8
(Jan 2015)
ISSN: 1097-6779 [Electronic] United States |
PMID | 25527056
(Publication Type: Case Reports, Journal Article, Video-Audio Media)
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Copyright | Copyright © 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)
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