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

Renteln, Daniel von; Vassiliou, Melina C.; McKenna, Dorothy R; Suriawinata, Arief A.; Swain, C. Paul; Rothstein, Richard I.

doi:10.1055/s-0031-1291447

Cited by 12 publications

(10 citation statements)

References 9 publications

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“…In 2005 were performed the first NOTES procedures, currently performed on humans, techniques based on a transluminal access for transgastric access. The first endoscopic experimental approach for pure NOTES gastrojejunal anastomosis was recently developed and tested in porcine non-survival and survival experiments 22 . In that regard, we have recently explored the concept of creating an experimental “pure” NOTES gastrojejunal anastomosis in different pig models to achieve a NOTES transgastric bypass 23 24 .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic esophagogastric anastomosis with luminal apposition Axios stent (LAS) approach: a new concept for hybrid “Lewis Santy”

et al. 2017

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Background and study aims Esophagogastric anastomosis (EGA) has a high risk of leakage. Based upon our experience in endoscopic gastrojejunal anastomosis using LAS, the aim of this study was to verify the technical feasibility and the safety of performing an EGA using a hybrid approach (endoscopic and surgical). Materials and methods A pilot prospective study was performed on 8 survival pigs. The procedure was carried out in 2 stages: (i) surgical step consisting of an esogastrectomy by laparotomy with separated suture of the esophagus and stomach; (ii) endoscopic esophagogastric anastomosis using the LAS. The first 2 pigs allowed for the setting of the 2 steps procedure, and 6 were included in the study for assessing the efficacy and safety of the procedure with a 3-week survival course. The primary endpoint was morbidity and mortality. Results All procedures were successfull. The mean operative time was 98 minutes, with a mean endoscopic time of 46 minutes. Three early deaths occurred within the first weeks, unrelated to the LAS anastomosis. At 3 weeks, endoscopic assessment followed by necropsy demonstrated the right position and the endoscopic removability of the stent with good patency of the esophagogastric anastomosis, without leakage of the endoscopic suture. Pathological examination confirmed the patency of the anastomosis with fusion of mucosal and muscle layers. Conclusion Endoscopic esophagogastric anastomosis with LAS is feasible and reproducible, without anastomotic leakage. It could be a new alternative to perform safe anastomoses, as part of a hybrid approach (surgical and endoscopic).

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Section: Discussionmentioning

confidence: 99%

Endoscopic esophagogastric anastomosis with luminal apposition Axios stent (LAS) approach: a new concept for hybrid “Lewis Santy”

et al. 2017

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“…Endoscopic experimental approaches for GJA using NOTES were recently developed and tested in porcine nonsurvival and survival experiments [6 -8]. Although it has been shown to be feasible, our group and others confirmed that NOTES GJA in an experimental porcine model can be technically difficult using the currently available endoscopic techniques and devices [9,10]. Moreover, the lack of a specific sutur-Background and study aims: Various techniques using surgical and natural orifice transluminal endoscopic surgery (NOTES) have been evaluated to create a gastrojejunal bypass.…”

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confidence: 60%

Gastrojejunal anastomosis using a tissue-apposing stent: a safety and feasibility study in live pigs

et al. 2014

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“…Plusieurs tentatives de gastroentéro-anastomoses ont été réalisées avec des approches hybrides ou endoscopiques pures, utilisant notamment de nombreuses méthodes pour la réalisation de la suture, telles que l'usage de T-tags [1][2][3] ou encore d'autres prototypes de suture [4,5]. Une d'elles notamment, était une étude prospective, comparative et randomisée, d'AGJ avec approche laparoscopique, mais l'absence de système de suture spécifique résulte en une procédure très longue et avec un taux de lâchage anastomotique important [1,3].…”

Section: By Pass Endoscopique Par Notes Marc Barthet Geoffroy Vanbieunclassified

Forums du CREGG, Paris 12-13 décembre 2014

2014

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Forum de proctologie Modérateur : Dr Thierry Higuero (Beausoleil), Président de la commission proctologie 08 h 30-10 h 00 : Forum de proctologie Vidéosession avec questions et réponses, quiz de photos diagnostic 10 h 00-10 h 15 : Pause Forum MICI Modérateurs : Dr Marie-Pierre Pingannaud et Dr Guillaume Bonnaud 10 h 15-10 h 30 : Evolution d'une première poussée d'iléite Dr Mathurin Flamant (Nantes) 10 h 30-10 h 45 : Monitoring des MICI par la calprotectine fécale et les dosages pharmacologiques des anti-TNF et anticorps en 2014 Stéphane Nancey 10 h 45-11 h 00 : Pourquoi faut-il dès à présent dans la RCH essayer d'obtenir une cicatrisation muqueuse et comment y arriver ? Dr Florent Gonzalez (Montpellier/Nîmes) 11 h 00-11 h 15 : Lésions primaires des LAP : pronostic et prise en charge Dr Ghislain Staumont (Toulouse) 11 h 15-11 h 30 : Interface MICI et médecine interne autour de d'un cas clinique Dr Marie-Pierre Pingannaud (Marseille) 11 h 30-11 h 45 : Apport des datas sets dans les MICI Dr Guillaume Bonnaud (Cornebarrieu) 11 h 45-12 h 00 : Pause Forum endoscopie 12 h-13 h 30 : Le petit matériel en endoscopie, truc et astuces, avis d'experts Dr Philippe Houcke (Marcq-en-Baroeul), Dr Bulois (Lille), Dr Jean-Marc Canard (Paris) 13 h 30-14 h 30 : Déjeuner Forum médico-légal Modérateur : Dr Germain Decroix et Dr Anne-Laure Tarrerias 14 h 30-15 h 30 : 300 dossiers déposés chaque jour à la CRCI (Commission régionale de conciliation et d'indemnisation). Pourquoi ? Comment s'organiser quand on est impliqué ?

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

Cited by 12 publications

References 9 publications

Endoscopic esophagogastric anastomosis with luminal apposition Axios stent (LAS) approach: a new concept for hybrid “Lewis Santy”

Endoscopic esophagogastric anastomosis with luminal apposition Axios stent (LAS) approach: a new concept for hybrid “Lewis Santy”

Gastrojejunal anastomosis using a tissue-apposing stent: a safety and feasibility study in live pigs

Forums du CREGG, Paris 12-13 décembre 2014

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