Endoscopic vs. laparoscopic gastrojejunostomy for duodenal obstruction: a randomized study in a porcine model.

Abstract:

BACKGROUND AND STUDY AIMS:Open or laparoscopic gastrojejunostomy is an established treatment for malignant duodenal obstruction but may be associated with significant morbidity and mortality. The purpose of this study was to develop a model for an entirely endoscopic gastrojejunostomy to treat duodenal obstruction, and to compare this with the laparoscopic technique. METHODS:During the first part of the study the endoscopic technique was developed and tested in porcine nonsurvival and survival experiments (n=12). During the second part of the study (n=10), endoscopic gastrojejunostomy for duodenal occlusion was compared with laparoscopic gastrojejunostomy in a survival randomized controlled trial (RCT). For both groups duodenal occlusion was achieved by the laparoscopic approach. RESULTS:In the RCT, the median times for laparoscopic vs. endoscopic gastrojejunostomy were 70 minutes (interquartile range [IQR] 65-75) vs. 210 minutes (IQR 197-220; P=0.01). There was a trend toward increased anastomotic diameter at necropsy in the laparoscopic group (2 cm, IQR 2-3) compared to the endoscopic group (1.8 cm, IQR 1.6-1.8; P=0.06). One animal in the endoscopic group died secondarily to bowel ischemia from volvulus of the jejunal loop. One animal in the laparoscopic group was prematurely sacrificed due to extensive pulmonary congestion and edema. All anastomoses were intact and patent. CONCLUSIONS:Purely endoscopic gastrojejunostomy using the developed technique and devices is feasible and can result in adequate relief of duodenal obstruction. Endoscopic anastomoses tend to be smaller than laparoscopic anastomoses, with the procedures being more time-consuming and associated with higher complication rates.

journal_name

Endoscopy

journal_title

Endoscopy

authors

von Renteln D,Vassiliou MC,McKenna D,Suriawinata AA,Swain CP,Rothstein RI

doi

10.1055/s-0031-1291447

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

161-8

issue

2

eissn

0013-726X

issn

1438-8812

journal_volume

44

pub_type

杂志文章
  • Endoscopic retrograde cholangiopancreatography after a liquid fatty meal: effect on deep common bile duct cannulation time.

    abstract:BACKGROUND AND STUDY AIM:Endoscopic retrograde cholangiopancreatography (ERCP) is an important gastrointestinal endoscopic procedure in the study and treatment of pancreaticobiliary diseases. The critical step of the procedure is cannulation of the common bile duct (CBD) and/or the pancreatic duct. Cannulation can be a...

    journal_title:Endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-2005-921116

    authors: Barrie M,Klein SD,Brown CA,Edge MD,Affronti JA,Cai Q

    更新日期:2006-03-01 00:00:00

  • Stent migration requiring surgical removal: a serious adverse event after bariatric megastent placement.

    abstract:: ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0725-7718

    authors: Madruga Neto AC,Brunaldi VO,Okazaki O,Santo Filho MA,Miranda Neto AA,Anapaz VL,de Moura EGH

    更新日期:2018-12-01 00:00:00

  • Clinical and endoscopic characterization of depressed gastric adenoma.

    abstract:BACKGROUND AND STUDY AIM:Depressed gastric adenoma remains poorly characterized because it is rare, and is infrequently detected by endoscopy. The aim of this study was to elucidate clinical and endoscopic characteristics of depressed adenoma of the stomach. PATIENTS AND METHODS:95 consecutive patients who underwent e...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-921207

    authors: Tamai N,Kaise M,Nakayoshi T,Katoh M,Sumiyama K,Gohda K,Yamasaki T,Arakawa H,Tajiri H

    更新日期:2006-04-01 00:00:00

  • High proximal migration rate of a partially covered "big cup" duodenal stent in patients with malignant gastric outlet obstruction.

    abstract::Endoscopic placement of self-expandable metal stents (SEMS) has emerged as a palliative treatment for patients with malignant gastric outlet obstruction (GOO). Recently, a new partially covered "big cup" SEMS has been developed to prevent both stent migration and tissue ingrowth. The aim of the study was to evaluate s...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0033-1359023

    authors: van den Berg MW,Walter D,Vleggaar FP,Siersema PD,Fockens P,van Hooft JE

    更新日期:2014-02-01 00:00:00

  • Improved detection of right colon adenomas with additional retroflexion following two forward-view examinations: a prospective study.

    abstract::Background and study aims Colonoscopy in the right colon is less effective than in the left colon in screening for colorectal cancer. The aim of this study was to prospectively evaluate the diagnostic value of retroflexion in the right colon. Patients and methods A total of 1020 patients undergoing screening or survei...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0042-119401

    authors: Lee HS,Jeon SW,Park HY,Yeo SJ

    更新日期:2017-04-01 00:00:00

  • Endoscopic retrograde cholangiography and sphincterotomy for complicated hepatic hydatid cyst.

    abstract::We report on the results of 20 endoscopic cholangiographies indicated for hepatic hydatid disease: 14 for pre-operative investigation and 6 for post-surgical complications. In 4 out of 14 cases, endoscopic retrograde cholangiography (ERC) was not an effective procedure for the pre-operative diagnosis of complicated he...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018274

    authors: Ponchon T,Bory R,Chavaillon A

    更新日期:1987-07-01 00:00:00

  • Role of endosonography in the surgical management of non-Hodgkin's lymphoma of the stomach.

    abstract::Ten patients with primary gastric non-Hodgkin's lymphoma (NHL) were preoperatively assessed by endoscopic ultrasonography (EUS). Tumor infiltration depth and lymph node involvement were assessed using the TNM classification system. EUS was 80% accurate in determining the TL stage and 90% in detecting lymph node metast...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010386

    authors: Schüder G,Hildebrandt U,Kreissler-Haag D,Seitz G,Feifel G

    更新日期:1993-10-01 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

  • Long-term follow-up after endoscopic resection of gastric superficial neoplastic lesions in Portugal.

    abstract:BACKGROUND AND STUDY AIMS:Although endoscopic resection for the treatment of gastric superficial neoplastic lesions is an established first-line treatment in Eastern countries, its role has yet to be considered in Western guidelines, mostly due to a lack of long-term studies. The aim of this study was to describe long-...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1377348

    authors: Pimentel-Nunes P,Mourão F,Veloso N,Afonso LP,Jácome M,Moreira-Dias L,Dinis-Ribeiro M

    更新日期:2014-11-01 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

  • Clinical results and development of variable-stiffness video colonoscopes.

    abstract:BACKGROUND AND STUDY AIMS:This study was designed to assess the usefulness of variable-stiffness video colonoscopes, compared with conventional videoscopes. PATIENTS AND METHODS:The first prototype XCF-QAY1 and the latter prototype XCF-Q240A1 used in this study can be varied to 4 levels of stiffness of tube insertion ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2001-11174

    authors: Odori T,Goto H,Arisawa T,Niwa Y,Ohmiya N,Hayakawa T

    更新日期:2001-01-01 00:00:00

  • Retroperitoneal perforation during ERCP and endoscopic sphincterotomy: causes, clinical features and management.

    abstract::Eleven patients with retroperitoneal perforation complicating endoscopic management of bile duct obstruction were seen over a seven-year period. In nine patients endoscopic sphincterotomy or pre-cut papillotomy had been performed, but in two who had not undergone sphincterotomy perforation occurred because of the pene...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1012833

    authors: Martin DF,Tweedle DE

    更新日期:1990-07-01 00:00:00

  • Endoscopic removal of colonic lipoma.

    abstract::A 71-year-old female with symptomatic colonic lipoma is described. An uneventful colonoscopic removal of the lipoma was performed. Colonoscopic removal of symptomatic pedunculated submucosal colonic lipoma may be recommended. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021668

    authors: Bar-Meir S,Halla A,Baratz M

    更新日期:1981-05-01 00:00:00

  • Morphological changes in the terminal oesophagus with varices, following sclerosis of the wall.

    abstract::Autopsies were performed on 53 patients with oesophageal varices treated with ethoxysclerol to effect sclerosis of the terminal oesophageal wall. The morphological changes after perivascular injection, disturbance of wound healing and complications are described. In 20 cases it was possible to follow the various stage...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021692

    authors: Helpap B,Bollweg L

    更新日期:1981-11-01 00:00:00

  • Gastrointestinal hemorrhage caused by the direct invasion of a hepatocellular carcinoma successfully treated with polyglycolic acid sheet shielding.

    abstract:: ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0747-5467

    authors: Mannami T,Fujiwara N,Ikeda G,Mishima T,Kuroi T,Muraoka T,Ohtawa Y

    更新日期:2019-02-01 00:00:00

  • Fine needle aspiration using forward-viewing endoscopic ultrasonography.

    abstract:BACKGROUND AND STUDY AIM:A prototype forward-viewing instrument has been developed for therapeutic endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA). We had the opportunity to use this forward-viewing echo endoscope and to study its clinical usefulness, mainly for diagnostic EUS-FNA. PATIENTS AND METHODS...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0030-1256508

    authors: Kida M,Araki M,Miyazawa S,Ikeda H,Kikuchi H,Watanabe M,Imaizumi H,Koizumi W

    更新日期:2011-09-01 00:00:00

  • Setting up a quality assurance program in endoscopy.

    abstract:BACKGROUND:Both patients and government demand proof of quality of care and value for money. Our unit ist in a large teaching hospital, performing over 6000 procedures per year. We have designed and implemented a Quality Assurance (QA) program, the basis of which we believe could be a model for endoscopy QA. METHODS:A...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-41508

    authors: Naylor G,Gatta L,Butler A,Duffet S,Wilcox M,Axon AT,O'Mahony S

    更新日期:2003-08-01 00:00:00

  • The role of gastrointestinal endoscopy in a developing country.

    abstract::Eight-thousand-six-hundred-and-eighty patients were examined endoscopically over a period of six years. Significant pathological lesions were detected in 79.6% of the cases. While duodenal ulcers were seen at the same frequency as in the West, the number of gastric ulcers were considerably fewer, the ratio of gastric ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018321

    authors: Al Nakib B,Radhakrishnan S,Al Liddawi H,Jacob GS,Al Ruwaih A

    更新日期:1986-03-01 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

  • Capsule endoscopy in patients with suspected Crohn's disease and negative endoscopy.

    abstract:BACKGROUND AND STUDY AIMS:The aim of the present study was to assess the value of capsule endoscopy in the diagnostic work-up of patients in whom there is a clinical suspicion of small bowel Crohn's disease that cannot be confirmed using traditional techniques. PATIENTS AND METHODS:A total of 21 patients (14 men, seve...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2003-40241

    authors: Herrerías JM,Caunedo A,Rodríguez-Téllez M,Pellicer F,Herrerías JM Jr

    更新日期:2003-07-01 00:00:00

  • Endoscopic resection in the duodenum: current limitations and future directions.

    abstract::Duodenal lesions that should be considered for endoscopic resection comprise a heterogeneous group of disorders. Most are adenomas, primarily located in the descending duodenum. In comparison to lesions of a similar size elsewhere in the gastrointestinal tract, the risk of major complications from endoscopic resection...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1326177

    authors: Bourke MJ

    更新日期:2013-01-01 00:00:00

  • A novel, stiff-shaft, flexible-tip guidewire for cannulation of biliary stricture during endoscopic retrograde cholangiopancreatography: a randomized trial.

    abstract:BACKGROUND AND STUDY AIMS:During endoscopic retrograde cholangiopancreatography (ERCP), a guidewire is used to cannulate biliary strictures and allow for therapeutic interventions. The aim of this study was to assess the success of stricture cannulation using a combination of a flexible guidewire and a stable nitinol w...

    journal_title:Endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0034-1377628

    authors: Albert JG,Lucas K,Filmann N,Herrmann E,Schröder O,Sarrazin C,Trojan J,Kronenberger B,Bojunga J,Zeuzem S,Friedrich-Rust M

    更新日期:2014-10-01 00:00:00

  • Upper gastrointestinal hemorrhage secondary to erosion of a biliary Wallstent in a woman with pancreatic cancer.

    abstract::A 77-year-old patient with unresectable pancreatic adenocarcinoma sustained a life-threatening, upper gastrointestinal hemorrhage 1 month after placement of a biliary Wallstent. Radiographic and endoscopic studies revealed a choledocho-arterio-enteric fistula caused by erosion of the stent through the posterior duoden...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-4662

    authors: Gardiner MF,Long WB,Haskal ZJ,Lichtenstein GR

    更新日期:2000-08-01 00:00:00

  • Endoscopic discovery and capture of Taenia saginata.

    abstract::The authors report the first case of endoscopic finding and removal of a beef tapeworm (Taenia saginata). The parasite was discovered in the duodenal bulb of a 72-year-old woman, who complained of epigastric pain. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021642

    authors: Descombes P,Dupas JL,Capron JP

    更新日期:1981-01-01 00:00:00

  • Therapeutic endoscopy of the paranasal sinuses.

    abstract::This paper is mainly concerned with describing and demonstrating the technique of paranasal endoscopies--maxillary, frontal, sphenoidal--, illustrated by diagrams. The improvement of technique in diagnosis and therapy of the paranasal sinuses has proved essentially successful. Indications for therapeutic endoscopy of ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098303

    authors: Draf W

    更新日期:1978-11-01 00:00:00

  • Gastric stump cancer: etiopathological and clinical aspects.

    abstract::Between 1959 and 1987, at the Innsbruck University Hospital, 359 cases of carcinoma were diagnosed in the gastric remnant. While until 1975 in 203 patients suffering from stump carcinoma the tumor stages T3 and T4 were significantly prevalent, a strong tendency towards the less advanced tumor stages T1 and T2 was obse...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1012917

    authors: Pointner R,Schwab G,Königsrainer A,Bodner E,Schmid KW

    更新日期:1989-05-01 00:00:00

  • Dieulafoy's ulcer: combined endoscopic and laparoscopic treatment.

    abstract::Dieulafoy's disease is a rare, but dangerous cause of upper gastrointestinal hemorrhage. We report here the case of a patient in whom the failure of endoscopic therapy necessitated a surgical approach by combining endoscopy and laparoscopy. The intraoperative endoscopic examination located the site of the lesion preci...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005488

    authors: Bouillot JL,Aubertin JM,Fornes P,Petite JP,Alexandre JH

    更新日期:1996-05-01 00:00:00

  • Moderate sedation for elective upper endoscopy with balanced propofol versus fentanyl and midazolam alone: a randomized clinical trial.

    abstract:BACKGROUND AND STUDY AIMS:Balanced propofol sedation (BPS) combines propofol with opiates and benzodiazepines and targets at moderate sedation. Data comparing outcomes of BPS and standard sedation with opiates and benzodiazepines during elective esophagogastroduodenoscopy (EGD) are sparse. The primary end point of this...

    journal_title:Endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0031-1291421

    authors: Levitzky BE,Lopez R,Dumot JA,Vargo JJ

    更新日期:2012-01-01 00:00:00

  • Combined endobronchial and esophageal endosonography for the diagnosis and staging of lung cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline, in cooperation with the European Respiratory Society (ERS) and the European Society of Thor

    abstract::This is an official guideline of the European Society of Gastrointestinal Endoscopy (ESGE), produced in cooperation with the European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS). It addresses the benefit and burden associated with combined endobronchial and esophageal mediastinal nod...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/s-0034-1392040

    authors: Vilmann P,Clementsen PF,Colella S,Siemsen M,De Leyn P,Dumonceau JM,Herth FJ,Larghi A,Vazquez-Sequeiros E,Hassan C,Crombag L,Korevaar DA,Konge L,Annema JT

    更新日期:2015-06-01 00:00:00

  • Establishing transvaginal NOTES for gynecological and surgical indications: benefits, limits, and patient experience.

    abstract::Gynecologists have been performing transvaginal surgery for over a century and consequently the transvaginal approach was advocated for establishing natural orifice transluminal endoscopic surgery (NOTES) in gynecological and surgical practice. From 2008 the NOTES alternative has been offered to selected patients. Tra...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0030-1255756

    authors: Hackethal A,Sucke J,Oehmke F,Münstedt K,Padberg W,Tinneberg HR

    更新日期:2010-10-01 00:00:00