Effectivity of current sterility methods for transgastric access NOTES procedures: Results of a randomized porcine study

Natural orifice transluminal endoscopic surgery (NOTES)

“…Should gastric preparation be mandatory before transgastric surgery? It was found that a simple lavage of the stomach is associated with a significant increase in contamination and peritoneal infections compared with a preparation including lavage with antiseptics, and administration of proton pump inhibitors (PPIs) and a systematic course of antibiotics [10]. However, that study does not permit conclusions about the relative importance of the various components of the prophylactic preparation.…”