Skip to main content
Top
Published in: Surgical Endoscopy 10/2007

01-10-2007 | Endoluminal

Transgastric access By balloon overtube for intraperitoneal surgery

Authors: Fábio Yuji Hondo, José Humberto Giordano-Nappi, Fauze Maluf-Filho, Sergio Eiji Matuguma, Paulo Sakai, Renato Poggetti, Newton Djin Mori, Belchor Fontes, Dario Birolini, Shinichi Ishioka

Published in: Surgical Endoscopy | Issue 10/2007

Login to get access

Abstract

The final frontier in endoscopy is the peritoneal cavity which was recently reached through natural orifice transluminal endoscopic surgery (NOTES). Endoscopic perforation caused by NOTES has been the major challenge for this procedure because of the risk of peritonitis and consequent complications. We describe in a dog model the use of an overtube system, one of them with a balloon, to access the peritoneal cavity by NOTES. It permits direct access to the peritoneal cavity from the mouth and also allows the performance of a controlled perforation and provides conditions for a safe closure of the gastric wall.
Literature
1.
go back to reference Cotton PB (1997) Endoscopy in crisis: the challenge of new technology. Gastrointest Endosc 46:189–91PubMedCrossRef Cotton PB (1997) Endoscopy in crisis: the challenge of new technology. Gastrointest Endosc 46:189–91PubMedCrossRef
2.
go back to reference Lui R, Chand B, Ponsky J (2005) The future of surgical endoscopy. Endoscopy 37:38–41CrossRef Lui R, Chand B, Ponsky J (2005) The future of surgical endoscopy. Endoscopy 37:38–41CrossRef
3.
go back to reference Kalloo AN, Kantsevoy SV, Singh VK, et al. (2000) Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity (abstract). Gastroenterology 118:A1039CrossRef Kalloo AN, Kantsevoy SV, Singh VK, et al. (2000) Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity (abstract). Gastroenterology 118:A1039CrossRef
4.
go back to reference Kalloo AN, Singh VK, Jagannath SB, et al. (2004) Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest Endosc 60:114–7PubMedCrossRef Kalloo AN, Singh VK, Jagannath SB, et al. (2004) Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest Endosc 60:114–7PubMedCrossRef
5.
go back to reference Kantsevoy SV, Jagannasth SB, Niiyama H, et al. (2005) Endoscopic gastrojejunostomy with survival in a porcine model. Gastointest Endosc 62:287–92CrossRef Kantsevoy SV, Jagannasth SB, Niiyama H, et al. (2005) Endoscopic gastrojejunostomy with survival in a porcine model. Gastointest Endosc 62:287–92CrossRef
6.
go back to reference Martinsen TC, Bergh K, Waldum H (2005) Gastric juice: a barrier against infectious diseases. Basic Clin Pharmacol Toxicol 96:94–102PubMedCrossRef Martinsen TC, Bergh K, Waldum H (2005) Gastric juice: a barrier against infectious diseases. Basic Clin Pharmacol Toxicol 96:94–102PubMedCrossRef
7.
go back to reference Lamadé W, Hochberger J (2006) Transgastric surgery: avoiding pitfalls in the development of a new technique. Gastrointest Endosc 63:698–700PubMedCrossRef Lamadé W, Hochberger J (2006) Transgastric surgery: avoiding pitfalls in the development of a new technique. Gastrointest Endosc 63:698–700PubMedCrossRef
8.
go back to reference Merrifield B, Wagh M, Thempson C (2006) Peroral transgastric organ resection in the abdomen: a feasibility study in pigs. Gastrointest Endosc 63:693–7PubMedCrossRef Merrifield B, Wagh M, Thempson C (2006) Peroral transgastric organ resection in the abdomen: a feasibility study in pigs. Gastrointest Endosc 63:693–7PubMedCrossRef
9.
go back to reference Park PO, Bergstrom M, Ikeda K, et al. (2005) Experimental studies of transgastric gallbladder surgery: cholecystectomy and cholecystogastric anastomosis. Gastrointest Endosc 61:601–6PubMedCrossRef Park PO, Bergstrom M, Ikeda K, et al. (2005) Experimental studies of transgastric gallbladder surgery: cholecystectomy and cholecystogastric anastomosis. Gastrointest Endosc 61:601–6PubMedCrossRef
10.
go back to reference Wagh MS, Merrifield BF, Thompson CC (2006) Survival studies after endoscopic transgastric oophorectomy and tubectomy in a porcine model. Gastrointest Endosc 63:473–8PubMedCrossRef Wagh MS, Merrifield BF, Thompson CC (2006) Survival studies after endoscopic transgastric oophorectomy and tubectomy in a porcine model. Gastrointest Endosc 63:473–8PubMedCrossRef
11.
go back to reference Wagh MS, Merrifield BF, Thompson CC (2005) Endoscopic transgastric abdominal exploration and organ resection: initial experience in a porcine model. Clin Gastoenterol Hepatol 9:892–6CrossRef Wagh MS, Merrifield BF, Thompson CC (2005) Endoscopic transgastric abdominal exploration and organ resection: initial experience in a porcine model. Clin Gastoenterol Hepatol 9:892–6CrossRef
12.
go back to reference Pai RD, Fong DG, Bundga ME, et al. (2006) Transcolonic endoscope cholecystectomy: a NOTES survival study in a porcine model. Gastrointest Endosc 64:428–34PubMedCrossRef Pai RD, Fong DG, Bundga ME, et al. (2006) Transcolonic endoscope cholecystectomy: a NOTES survival study in a porcine model. Gastrointest Endosc 64:428–34PubMedCrossRef
Metadata
Title
Transgastric access By balloon overtube for intraperitoneal surgery
Authors
Fábio Yuji Hondo
José Humberto Giordano-Nappi
Fauze Maluf-Filho
Sergio Eiji Matuguma
Paulo Sakai
Renato Poggetti
Newton Djin Mori
Belchor Fontes
Dario Birolini
Shinichi Ishioka
Publication date
01-10-2007
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 10/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-007-9447-x

Other articles of this Issue 10/2007

Surgical Endoscopy 10/2007 Go to the issue