Surgical Endoscopy Versus Endoscopic Surgery for Obesity

Abstract

The current tendency is to promote surgical treatment of obesity to a status of less invasive scars therefore promoting minimally invasive surgical techniques.

Endoscopic ultrasound-guided choledochoduodenostomy using a lumen apposing metal stent for acute cholangitis

“…Focusing on the fact that there is an absence of adherences between the bowel and the bile duct, which may generally lead to either bile leakage or pneumoperitoneum when performing the anastomosis, we decided to use the AXIOS stent. EUS-guided procedures with this type of stent have been suggested between the bowel wall and different organs (3,4). The main advantage is the fact that its flanges assure an apposition of both walls, and it also does not require many accessory changes.…”

“…With options such as percutaneous drainage or surgery, endoscopic ultrasound (EUS) access of the common bile duct (CBD) has become a significant alternative due to its less invasive nature (2). Moreover, lumen apposing metal stent (LAMS) is validated for pseudocyst drainage and has been associated with newly introduced EUS therapeutic techniques (3,4). EUS-guided biliary drainage with a LAMS may fulfill the challenges encountered in failed ERCP situations and also provide a strong incentive for research of new therapeutic modalities.…”

Comparative Study of NOTES Versus Endoscopic Ultrasound Gastrojejunostomy in Pigs: A Prospective Study

“…Thus, endoscopic GJJ with stent placing further away from the stenosis may avoid some of the risks and also be a more bearable procedure with less discomfort in the future. 8 A recent study comparing enteral stenting with EUS-guided GJJ focused on endoscopic reinterventions and hallmarked the advantages of using EUS with less recurrence rate and technical and clinical success. 7…”

“…Purely endoscopic GJJ requires either a double-channel scope or an endoscopic ultrasound (EUS) approach. 8 While the concept is similar in creating a new fistulous tract, the procedural steps are different with certain technical difficulties and requirements. No doubt that these procedures require high technical abilities and should be performed by expert practitioners with experience in therapeutic endoscopy.…”

Introductory Chapter: Endoscopy-Novel Techniques and Recent Advancements

“…Lumen-apposing metal stents are highlighting a fine line between the gastroenterology and surgical community [60] (Figure 5A, B). EUS-guided gallbladder drainage [61], EUS-choledochoduodenostomy [62], EUS-pancreaticogastrostomy [63], and the most recent EUS-gastrojejunostomy [64] represent some of the challenges that were introduced with focus on minimally invasive therapy.…”