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

作     者：Su-Yu Chen Hong Shi Sheng-Jun Jiang Yong-Guang Wang Kai Lin Zhao-Fei Xie Xiao-Jing Liu 

作者机构：Department of Gastrointestinal EndoscopyFujian Provincial Tumor HospitalTeaching Hospital of Fujian Medical University Depart-ment of Minimally Invasive SurgeryBeijing Chuiyangliu HospitalInstitute of Minimally Invasive Medicine of Tongji University Department of General SurgeryFuzhou Seventh Hospital 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2015年第7卷第15期

页      面：1186-1190页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：Medical Innovation Project of Fujian Provincial Health Bureau(2012--C*B--8) 

主　　题：Endoscopic gastrojejunostomy Endoloop Endoscopic c 

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 ***: 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 ***: Pure NOTES side-to-side gastrojejunostomy was successfully performed in all three animals. No leakage was identified via methylene blue evaluation following ***: This novel technique for preforming a gastrointestinal anastomosis exclusively by NOTES is technically feasible and reproducible in an animal model but warrants further improvement.