Transgastric endoscopic gastrojejunostomy using holing followed by interrupted suture technique in a porcine model

• 作者: Hong Shi Kai Lin Sheng-Jun Jiang Su-Yu Chen Xiao-Jing Liu Yong-Guang Wang Zhao-Fei Xie
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: ENDOSCOPIC GASTROJEJUNOSTOMY ENDOLOOP ENDOSCOPIC c
• 年，卷（期）: 2015,（15）
• 页码范围: 1186-1190
• 页数: 5页
• 分类号: R

摘要

AIM: To demonstrate the feasibility and reproducibility of a pure natural orifice transluminal endoscopic surgery(NOTES) gastrojejunostomy using holing followed by interrupted suture technique using a single endoloop matched with a pair of clips in a non-survival porcine model.METHODS: NOTES gastrojejunostomy was performed on three female domestic pigs as follows: Gastrostomy, selection and retrieval of a free-floating loop of the small bowel into the stomach pouch, hold and exposure of the loop in the gastric cavity using a submucosal inflation technique, execution of a gastro-jejunal mucosal-seromuscular layer approximation using holing followed by interrupted suture technique with endoloop/clips, and full-thickness incision of the loop with a Dual knife.RESULTS: Pure NOTES side-to-side gastrojejunostomy was successfully performed in all three animals. No leakage was identified via methylene blue evaluation following surgery.CONCLUSION: This novel technique for preforming a gastrointestinal anastomosis exclusively by NOTES is technically feasible and reproducible in an animal model but warrants further improvement.