Details

Autor(en) / Beteiligte

• Chen, Su-Yu
• Shi, Hong
• Jiang, Sheng-Jun
• Wang, Yong-Guang
• Lin, Kai
• Xie, Zhao-Fei
• Liu, Xiao-Jing

Titel

Transgastric endoscopic gastrojejunostomy using holing followed by interrupted suture technique in a porcine model

Ist Teil von

• World journal of gastrointestinal endoscopy, 2015-10, Vol.7 (15), p.1186-1190

Ort / Verlag

United States: Baishideng Publishing Group Inc

Erscheinungsjahr

2015

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• AIM: To demonstrate the feasibility and reproducibility of a pure natural orifice transluminal endoscopic surgery(NOTES) gastrojejunostomy using holing followed by interrupted suture technique using a single endoloop matched with a pair of clips in a non-survival porcine model.METHODS: NOTES gastrojejunostomy was performed on three female domestic pigs as follows: Gastrostomy, selection and retrieval of a free-floating loop of the small bowel into the stomach pouch, hold and exposure of the loop in the gastric cavity using a submucosal inflation technique, execution of a gastro-jejunal mucosal-seromuscular layer approximation using holing followed by interrupted suture technique with endoloop/clips, and full-thickness incision of the loop with a Dual knife.RESULTS: Pure NOTES side-to-side gastrojejunostomy was successfully performed in all three animals. No leakage was identified via methylene blue evaluation following surgery.CONCLUSION: This novel technique for preforming a gastrointestinal anastomosis exclusively by NOTES is technically feasible and reproducible in an animal model but warrants further improvement.