Gastrointestinal endoscopy · 2015
Natural orifice transluminal endoscopic surgery gastroenterostomy with a biflanged lumen-apposing stent: first clinical experience (with videos).
Клинический случайСтатьяVideo-Audio MediaНазвание и аннотация: Перевод в очереди
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Ошибки и ограничения
История · было → стало
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Barthet Marc, Binmoeller Kenneth F, Vanbiervliet Geoffroy, Gonzalez Jean-Michel, Baron Todd H, Berdah Stéphane
Аннотация
BACKGROUND: We established feasibility and safety for natural orifice transluminal endoscopic surgery (NOTES) GI anastomosis with a lumen-apposing stent in live pigs. This approach was performed in 3 patients.
OBJECTIVE: Creation of a NOTES gastroduodenal anastomosis in patients.
DESIGN: Case series.
SETTING: Two tertiary-care referral centers at large academic hospitals in France and in the United States.
PATIENTS: Patients with refractory benign duodenal stenosis and malignant duodenal obstruction.
INTERVENTION: NOTES GI anastomosis with a lumen-apposing stent.
MAIN OUTCOME MEASUREMENTS: Disappearence of gastric outlet obstruction.
RESULTS: All 3 procedures were technically successful and uneventful, except 1 minor adverse event. There were no instances of stent occlusion or migration during follow-up. All patients resumed a normal diet.
LIMITATIONS: Small case series.
CONCLUSION: NOTES gastroenteric anastomosis is feasible and safe in humans. A prospective pilot study is warranted.
OBJECTIVE: Creation of a NOTES gastroduodenal anastomosis in patients.
DESIGN: Case series.
SETTING: Two tertiary-care referral centers at large academic hospitals in France and in the United States.
PATIENTS: Patients with refractory benign duodenal stenosis and malignant duodenal obstruction.
INTERVENTION: NOTES GI anastomosis with a lumen-apposing stent.
MAIN OUTCOME MEASUREMENTS: Disappearence of gastric outlet obstruction.
RESULTS: All 3 procedures were technically successful and uneventful, except 1 minor adverse event. There were no instances of stent occlusion or migration during follow-up. All patients resumed a normal diet.
LIMITATIONS: Small case series.
CONCLUSION: NOTES gastroenteric anastomosis is feasible and safe in humans. A prospective pilot study is warranted.