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Pediatric Surgery International

Published in:

01-12-2014 | Original Article

A novel double-balloon catheter device for fully endoluminal intestinal lengthening

Authors: Farokh R. Demehri, Philip M. Wong, Jennifer J. Freeman, Yumi Fukatsu, Daniel H. Teitelbaum

Published in: Pediatric Surgery International | Issue 12/2014

Abstract

Objective

Distraction enterogenesis may provide a novel therapy for short bowel syndrome (SBS). Previously described methods have relied upon isolated intestinal segments or transmural fixation. Our objective was to develop a novel, fully endoluminal device, permitting placement and removal through an enteral stoma or orifice.

Methods

A flexible device was designed consisting of two latex balloons mounted on coaxial catheters. The inner catheter allowed longitudinal force transmission from an external spring. Yorkshire pigs underwent jejunal Roux limb creation with device placement via jejunostomy. Balloons were inflated to 52 mmHg without significant reduction in bowel perfusion as measured by laser Doppler. The device was explanted after 7 days.

Results

Distracted bowel achieved an increase in length of 26.1 ± 6.1 % vs nondistracted fed bowel. As the device resided in unfed bowel, a 66.7 ± 14.5 % increase vs unfed bowel was noted. These corresponded to a gain of 6.3 ± 2.3 cm (0.9 ± 0.3 cm/day) and 12.9 ± 7.6 cm (1.8 ± 1.1 cm/day), respectively. Attachment sites demonstrated occasional epithelial sloughing with no balloon-associated perforation.

Conclusion

A novel double-balloon catheter device allows for fully endoluminal distraction enterogenesis. This approach may allow development of clinically applicable technology for the treatment of patients with SBS.

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Title: A novel double-balloon catheter device for fully endoluminal intestinal lengthening
Authors: Farokh R. Demehri
Philip M. Wong
Jennifer J. Freeman
Yumi Fukatsu
Daniel H. Teitelbaum
Publication date: 01-12-2014
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 12/2014
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-014-3612-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A novel double-balloon catheter device for fully endoluminal intestinal lengthening

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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