Novel over-the-scope-clip system for gastrotomy closure in natural orifice transluminal endoscopic surgery (NOTES): an ex vivo comparison study.

Abstract:

BACKGROUND AND STUDY AIMS:Secure transluminal closure remains a fundamental barrier to clinical introduction of natural orifice transluminal endoscopic surgery (NOTES). Current NOTES closure modalities either do not provide secure closure or are too challenging to apply in vivo. The aims of this study were to evaluate gastric closure using the over-the-scope clip (OTSC) system in a previously described experimental setup, comparing the acute strength with a gold standard (hand surgical suturing). METHODS:Comparison was done using an ex vivo porcine stomach experimental setup. The gastric opening was created by a needle knife puncture followed by dilation with 18-mm balloon. Control gastrotomies (n = 15; surgical suturing) showed a mean leak pressure of 206 mmHg (SD 59). A noninferiority design required a sample size of 11 specimens for the OTSC group. Closure comprised: (i) approximation of muscular layers using a flexible twin grasper; (ii) pulling the tissue into the OTSC cap at the tip of the scope; (iii) releasing the clip. Main outcome measures were leak pressure of closed gastrotomies, leak location, and time needed for adequate closure. RESULTS:Closure was successful in all specimens in a median of 3 minutes. Closed gastrotomies showed air leakage at mean pressure of 233 mmHg (SD 47), which was non-inferior compared with the predetermined gold standard (P = 0.003). CONCLUSIONS:Closure of gastric incisions to meet a predetermined leak pressure criterion was attainable and easy with the OTSC system. In vivo survival animal experiments are needed to further evaluate this promising closure modality.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Voermans RP,van Berge Henegouwen MI,Bemelman WA,Fockens P

doi

10.1055/s-0029-1215231

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1052-5

issue

12

eissn

0013-726X

issn

1438-8812

journal_volume

41

pub_type

杂志文章
  • Comparative study of NOTES rectosigmoidectomy in a swine model: E-NOTES vs. P-NOTES.

    abstract:BACKGROUND AND STUDY AIMS:Several reports have demonstrated the safety of pure natural-orifice transluminal endoscopic surgery (P-NOTES) using transanal endoscopic microsurgery (TEM) and embryonic NOTES (E-NOTES; laparoscopic surgery through the umbilicus). This study was performed to compare the safety and applicabili...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0030-1256239

    authors: Sohn DK,Jeong SY,Park JW,Kim JS,Hwang JH,Kim DW,Kang SB,Oh JH

    更新日期:2011-06-01 00:00:00

  • Microscopic colitis: a misnomer for a clearly defined entity?

    abstract::In recent years, several endoscopic features of microscopic colitis have been noted. The pickup of these on colonoscopy depends on local expertise, endoscopic technology, and case volume. As the incidence of microscopic colitis has increased, we wanted to draw attention to endoscopists' ability to recognize such findi...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1391986

    authors: Yung DE,Koulaouzidis A,Fineron P,Plevris JN

    更新日期:2015-08-01 00:00:00

  • Magnifying chromoendoscopy of the esophagus: in-vivo pathological diagnosis using an endocytoscopy system.

    abstract:BACKGROUND AND STUDY AIMS:The aim of the present study was to observe the endoscopic characteristics of cells on the surface layer of superficial esophageal carcinomas in vivo using an endocytoscopy system and to compare the findings with those in normal squamous epithelium. PATIENTS AND METHODS:Superficial esophageal...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2004-814533

    authors: Kumagai Y,Monma K,Kawada K

    更新日期:2004-07-01 00:00:00

  • A percussion lithotripter.

    abstract::A mechanical lithotripter producing a percussion action on biliary stones is described. This device seems to be robust and flexible at the same time. Every biliary stone is easily crushed by this lithotripter. Sixty-seven patients have been endoscopically treated with the aid of this probe. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018387

    authors: Oselladore D,Rossoni R,Stevanato G

    更新日期:1986-11-01 00:00:00

  • Endoscopic removal of an embedded biliary Wallstent by piecemeal extraction.

    abstract::Expandable metal biliary stents are reserved for patients with unresectable malignant biliary obstruction. Occasionally, these stents may cause complications necessitating removal. We describe successful endoscopic removal of a biliary Wallstent one year after insertion in a patient who initially underwent placement o...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-653

    authors: Egan LJ,Baron TH

    更新日期:2000-06-01 00:00:00

  • Does passage of a patency capsule indicate small-bowel patency? A prospective clinical trial?

    abstract:BACKGROUND AND STUDY AIMS:At many centers wireless capsule endoscopy (WCE) without prior radiographic examination to rule out relevant strictures is considered to be contraindicated in suspected obstructive small-bowel disease. However, the accuracy of radiography in this situation has often been questioned. The purpos...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-870220

    authors: Boivin ML,Lochs H,Voderholzer WA

    更新日期:2005-09-01 00:00:00

  • Endohyperthermia--experimental evaluation of a new therapeutic approach for treatment of biliary carcinoma.

    abstract:BACKGROUND AND STUDY AIMS:To improve the prognosis of patients with unresectable, locally advanced bile duct carcinoma, new treatment strategies need to be evaluated. Hyperthermia has been successfully applied as part of multimodal therapy in esophageal and rectal carcinoma. We performed in-vitro and in-vivo experiment...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-7380

    authors: Weigert N,Eckel F,Born P,Erhardt W,Henke J,Werner M,Classen M,Rösch T

    更新日期:2000-04-01 00:00:00

  • Fine-needle endoscopic percutaneous gastrostomy.

    abstract::A procedure for percutaneous endoscopic gastrostomy is described. Under direct endoscopic control, the surgeon introduces, percutaneously, into the inflated stomach a 9 French Foley catheter through a special needle, which may then be opened for removal. After positioning, the terminal balloon of the Foley is inflated...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018585

    authors: Negri G,Cosentino F,Spina GP

    更新日期:1984-11-01 00:00:00

  • Acquisition of competence in colonoscopy: the learning curve of trainees.

    abstract:BACKGROUND AND STUDY AIMS:Most official training programs in colonoscopy recommend that trainees should carry out a minimum of 100 procedures, but limited data exist on the technical progress of trainees. The aim of our study was to estimate the number of supervised procedures required for obtaining competence in colon...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-1999-146

    authors: Tassios PS,Ladas SD,Grammenos I,Demertzis K,Raptis SA

    更新日期:1999-11-01 00:00:00

  • European Society of Gastrointestinal Endoscopy (ESGE) Guideline Development Policy.

    abstract::Numerous scientific publications explore the field of gastrointestinal (GI) endoscopy (a Pubmed search currently yields > 73000 results). Therefore, guidelines have become an indispensable tool for incorporating up-to-date knowledge into daily clinical care. Since the 1990 s, the issuing of guidelines has been a centr...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0031-1291747

    authors: Dumonceau JM,Hassan C,Riphaus A,Ponchon T

    更新日期:2012-06-01 00:00:00

  • Evaluation of endoscopic-ultrasound-guided celiac ganglion irradiation with iodine-125 seeds: a pilot study in a porcine model.

    abstract:BACKGROUND AND STUDY AIMS:Implantation of iodine-125 ( (125)I) seeds under the guidance of endoscopic ultrasonography (EUS) has been proved to be a safe alternative treatment option for advanced pancreatic cancer. The main purpose of this study was to evaluate the feasibility and safety of EUS-guided radiation of the c...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1119588

    authors: Wang K,Jin Z,Du Y,Chen J,Zhan X,Wang L,Li Z,Zou D,Liu Y

    更新日期:2009-04-01 00:00:00

  • Duodenal perforation after laparoscopic cholecystectomy.

    abstract::A case is reported of duodenal perforation complicating laparoscopic cholecystectomy performed by laser dissection. The importance of investigating a patient with persistent shoulder-tip pain following this technique to exclude a subphrenic abscess is emphasised. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010586

    authors: Eden CG,Williams TG

    更新日期:1992-11-01 00:00:00

  • Performance measures for small-bowel endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative.

    abstract::The European Society of Gastrointestinal Endoscopy (ESGE) together with the United European Gastroenterology (UEG) recently developed a short list of performance measures for small-bowel endoscopy (i. e. small-bowel capsule endoscopy and device-assisted enteroscopy) with the final goal of providing endoscopy services ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0889-9586

    authors: Spada C,McNamara D,Despott EJ,Adler S,Cash BD,Fernández-Urién I,Ivekovic H,Keuchel M,McAlindon M,Saurin JC,Panter S,Bellisario C,Minozzi S,Senore C,Bennett C,Bretthauer M,Dinis-Ribeiro M,Domagk D,Hassan C,Kaminski M

    更新日期:2019-06-01 00:00:00

  • Gastric ulcer perforation into the heart.

    abstract::Penetration of the pericardium and heart is a very rare complication of benign peptic ulcer. The case is reported here of a 76-year-old woman with advanced senile dementia, who was admitted due to melena. Endoscopy revealed a large gastric ulcer located in a giant hiatal hernia. The ulcer base was protruding and stron...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005463

    authors: Brullet E,Campo R,Combalía N,Marqués G,Armengol-Miró JR

    更新日期:1996-03-01 00:00:00

  • Segmental tuberculosis of the colon diagnosed by colonoscopy.

    abstract::We describe the case of a woman with rectorrhagia and rectal tenesmus. Colonoscopy revealed a 3-4 cm-long ulcerated lesion with a reduced colon lumen 35 cm from the anus, and multiple biopsies were obtained from the ulcerated region, but histopathology was non-specific. Biopsy culture was positive for M. tuberculosis....

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1012838

    authors: Medina E,Orti E,Tomé A,Quiles F,Canelles P,Mertinez A

    更新日期:1990-07-01 00:00:00

  • A novel technique of concurrent esophagoscopy and transgastrostomy gastroscopy to dilate a completely obstructed distal esophageal stricture in a child following fundoplication.

    abstract::We report a successful dilation of a completely obstructed distal esophageal stricture in a 4-year-old boy with combined immune deficiency syndrome, at 2 and half years after fundoplication and gastrostomy tube insertion. Barium studies and esophagoscopy had revealed complete obstruction of the lower esophagus. Transg...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-870163

    authors: Isaiah JH,Jones AB,Lalor E,Evans M,Dhunno I,Huynh HQ

    更新日期:2005-08-01 00:00:00

  • Patients' willingness to defer resection of diminutive polyps: results of a multicenter survey.

    abstract::BACKGROUND AND STUDY AIMS : Current colonoscopy practice requires removal of diminutive polyps. This is associated with costs, but the benefits to colorectal cancer (CRC) prevention remain unclear. The study aim was to understand patients' willingness to defer resection of diminutive polyps and to examine the factors ...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0043-121221

    authors: von Renteln D,Bouin M,Barkun AN,Weber A,Robertson DJ,Anderson JC,Pohl H

    更新日期:2018-03-01 00:00:00

  • Endoscopic sclerosis versus cyanoacrylate endoscopic injection for the first episode of variceal bleeding: a prospective, controlled, and randomized study in Child-Pugh class C patients.

    abstract:BACKGROUND AND STUDY AIMS:Despite the recognized efficacy of sclerotherapy and elastic band ligation in controlling variceal hemorrhage, the results of endoscopic treatment in Child-Pugh class C patients remain poor. The aim of this prospective, controlled, and randomized study was to compare conventional sclerotherapy...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2001-14257

    authors: Maluf-Filho F,Sakai P,Ishioka S,Matuguma SE

    更新日期:2001-05-01 00:00:00

  • Natural orifice transluminal endoscopic surgery gastrotomy closure in porcine explants with the Padlock-G clip using the Lock-It system.

    abstract:BACKGROUND AND STUDY AIMS:The success of transgastric surgery depends on reliable, secure closure of the gastrotomy. Few tests of the integrity of these closures have been published. This study aimed to determine whether a gastrotomy suitable for a NOTES procedure can be closed safely and effectively from within the st...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1243950

    authors: Romanelli JR,Desilets DJ,Earle DB

    更新日期:2010-04-01 00:00:00

  • Reverse rendezvous with endoscopic retrograde cholangiography and percutaneous transhepatic cholangio drainage: who meets whom?

    abstract:: ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0800-8342

    authors: Goetz M,Fisch J,Hetzel J,Grözinger G

    更新日期:2019-03-01 00:00:00

  • Value of EUS in early detection of pancreatic ductal adenocarcinomas in patients with intraductal papillary mucinous neoplasms.

    abstract:BACKGROUND AND STUDY AIMS:Pancreatic ductal adenocarcinomas (PDAC) sometimes arise in patients with intraductal papillary mucinous neoplasms (IPMNs). This study examined the incidence of PDACs concomitant to or derived from branch duct IPMNs. The usefulness of endoscopic ultrasonography (EUS) relative to other imaging ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0033-1353603

    authors: Kamata K,Kitano M,Kudo M,Sakamoto H,Kadosaka K,Miyata T,Imai H,Maekawa K,Chikugo T,Kumano M,Hyodo T,Murakami T,Chiba Y,Takeyama Y

    更新日期:2014-01-01 00:00:00

  • Early detection of recurrent hepatocellular carcinoma by endosonographically guided fine-needle aspiration biopsy.

    abstract::Fine-needle aspiration guided by endoscopic ultrasonography (EUS) has shown promising results in establishing the cytological diagnosis of lesions identified during endoscopic ultrasound examinations. We report here on a case of recurrent hepatocellular carcinoma diagnosed by EUS-guided biopsy in which curative resect...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1004198

    authors: Bogstad J,Vilmann P,Burcharth F

    更新日期:1997-05-01 00:00:00

  • Metal stents for benign and malignant bile duct strictures stents for benign and malignant bile duct strictures.

    abstract::Self-expanding metal stents provide a much larger diameter--up to 30 Fr--in comparison with plastic stents, which have a maximum diameter of 12 Fr. Although they have consequently been found to be far superior to plastic prostheses, they are not removable, and in benign strictures metal stents should therefore be used...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-1001449

    authors: Rösch T

    更新日期:1998-11-01 00:00:00

  • Utility of laser-cut covered self-expandable metal stents for unresectable malignant distal biliary obstruction: a single-center experience.

    abstract:BACKGROUND:Few reports have evaluated the effectiveness of laser-cut, covered, self-expandable metal stents (LC-CSEMS) for unresectable malignant distal biliary obstruction (MDBO) and whether reintervention is feasible after placement. We describe our experience with LC-CSEMS placement for unresectable MDBO. METHODS:P...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-1149-1700

    authors: Marui S,Uza N,Yamazaki H,Ota S,Nakamura T,Yoshida H,Okada H,Hirano T,Kuwada T,Sogabe Y,Tomono T,Matsumori T,Morita T,Nishikawa Y,Tsuda M,Maruno T,Shiokawa M,Kodama Y,Seno H

    更新日期:2020-08-01 00:00:00

  • Biliary cannulation during endoscopic retrograde cholangiopancreatography: core technique and recent innovations.

    abstract::Despite advances in imaging and device technology over the past decade, endoscopic retrograde cholangiopancreatography (ERCP) continues to be one of the most technically challenging interventions in endoscopy. The procedure remains compounded by two persistent problems: failure of successful biliary cannulation and po...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-0029-1214859

    authors: Bourke MJ,Costamagna G,Freeman ML

    更新日期:2009-07-01 00:00:00

  • A new endoscopic balloon for sclerotherapy in active bleeding from esophageal varices.

    abstract::A new balloon for flexible endoscopes has been developed and used in 25 patients with esophageal varices: sclerotherapy was carried out as prophylaxis against rebleeding in 17 cases, and during active hemorrhage in 8 cases. The balloon was shown to be effective in controlling hemorrhage and enabling sclerosing injecti...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018474

    authors: Sciaretta G,Verri A,Malaguti P

    更新日期:1985-05-01 00:00:00

  • Esophageal stents for benign refractory strictures: a meta-analysis.

    abstract:BACKGROUND AND AIMS:Fully covered self-expanding removable stents (SERS) have been considered a viable alternative to serial bougienage. The primary aim of this meta-analysis was to determine the efficacy of SERS for refractory esophageal strictures. METHODS:Medline, Embase, and PubMed databases were searched using th...

    journal_title:Endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-0030-1256331

    authors: Thomas T,Abrams KR,Subramanian V,Mannath J,Ragunath K

    更新日期:2011-05-01 00:00:00

  • Splenic trauma during colonoscopy.

    abstract::A case of splenic rupture following therapeutic colonoscopy is described, and previously reported cases are reviewed. The occurrence of this event and the associated circumstances are often unpredictable. A high index of suspicion is the key to the diagnosis of this rare but potentially lethal complication. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010608

    authors: Colarian J,Alousi M,Calzada R

    更新日期:1991-01-01 00:00:00

  • Dislodged hood stuck in submucosal tunnel: retrieval during peroral endoscopic myotomy.

    abstract:: ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0658-0955

    authors: Gunjan D,Jain S,Garg P

    更新日期:2018-11-01 00:00:00

  • Helicobacter pylori eradication: the best long-term prophylaxis for ulcer bleeding recurrence?

    abstract::Peptic ulcer is the most common cause of acute intestinal hemorrhage. Helicobacter pylori is now accepted as being a pathogenetic agent in chronic active gastritis, and is strongly associated with ulcer disease. Eradication of H. pylori reduces significantly the rate of ulcer recurrence. Preliminary data demonstrate t...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-1005771

    authors: Jaspersen D

    更新日期:1995-10-01 00:00:00