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

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. S...

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Veröffentlicht in:Gastrointestinal endoscopy 2015, Vol.81 (1), p.215-218
Hauptverfasser: Barthet, Marc, MD, Binmoeller, Kenneth F., MD, Vanbiervliet, Geoffroy, MD, MSc, Gonzalez, Jean-Michel, MD, Baron, Todd H., MD, FASGE, Berdah, Stéphane, MD, PhD
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container_end_page 218
container_issue 1
container_start_page 215
container_title Gastrointestinal endoscopy
container_volume 81
creator Barthet, Marc, MD
Binmoeller, Kenneth F., MD
Vanbiervliet, Geoffroy, MD, MSc
Gonzalez, Jean-Michel, MD
Baron, Todd H., MD, FASGE
Berdah, Stéphane, MD, PhD
description 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.
doi_str_mv 10.1016/j.gie.2014.09.039
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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.</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/j.gie.2014.09.039</identifier><identifier>PMID: 25527056</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adenocarcinoma - complications ; Adult ; Aged ; Duodenal Obstruction - etiology ; Duodenal Obstruction - surgery ; Endoscopy, Gastrointestinal - methods ; Gastric Bypass - methods ; Gastroenterology and Hepatology ; Humans ; Male ; Natural Orifice Endoscopic Surgery ; Pancreatic Neoplasms - complications</subject><ispartof>Gastrointestinal endoscopy, 2015, Vol.81 (1), p.215-218</ispartof><rights>American Society for Gastrointestinal Endoscopy</rights><rights>2015 American Society for Gastrointestinal Endoscopy</rights><rights>Copyright © 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. 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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. 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subjects Adenocarcinoma - complications
Adult
Aged
Duodenal Obstruction - etiology
Duodenal Obstruction - surgery
Endoscopy, Gastrointestinal - methods
Gastric Bypass - methods
Gastroenterology and Hepatology
Humans
Male
Natural Orifice Endoscopic Surgery
Pancreatic Neoplasms - complications
title Natural orifice transluminal endoscopic surgery gastroenterostomy with a biflanged lumen-apposing stent: first clinical experience (with videos)
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