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Endoscopic repair of delayed stomach perforation caused by penetrating trauma:A case report

World Journal of Clinical Cases 2021年第5期9卷 1228-1236页

作者： Jae Hyun Yoon Chung Hwan Jun Jae Pil Han Ji-Woong Yeom Seung-Ku Kang Hyun Yi Kook Sung KyuChoi Department of Gastroenterology and Hepatology Chonnam National University Hospital and College of MedicineGwangju 61469South Korea Department of Internal Medicine Mokpo Hankook HospitalMokpo 58643South Korea Department of Surgery Mokpo Hankook HospitalMokpo 58643South Korea Department of Cardiothoracic Surgery Mokpo Hankook HospitalMokpo 58643South Korea Department of Nursing Chonnam National University Hospitaland College of NursingGwangju 61469South Korea

BACKGROUND Primary endoscopic closure of a perforated gastric wall during endoscopic procedures is mostly effective and well-tolerated;however,there are very few studies on the efficacy of endoscopic management of delayed traumatic gastric ***,we report a novel case of a patient who was successfully treated for delayed traumatic stomach perforation using an alternative endoscopic *** SUMMARY A 39-year-old woman presented with multiple penetrating traumas in the back and left abdominal *** imaging studies revealed left diaphragmatic disruption and peri-splenic hemorrhage without gastric *** emergency primary repair of the disrupted diaphragm with omental reduction and suturing of the lacerated lung was performed;however,delayed free perforation of the gastric wall was noted on computed tomography after 3 *** an emergency abdominal surgery for the primary repair of the gastric wall,re-perforation was noted 15 d *** high risk associated with re-surgery prompted an endoscopic intervention using 2 endoloops and 11 endoscopic clips using a novel modified purse-string suture *** free perforated gastric wall was successfully repaired without additional surgery or *** patient was discharged after 46 d without any *** Endoscopic closure with endoloops and clips can be a useful therapeutic alternative to re-surgery for delayed traumatic gastric perforation.

关键词： Surgical endoscopy Trauma Stomach Re-perforation endoloop Case report

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Percutaneous transgastric endoscopic tube ileostomy in a porcine survival model

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World Journal of Gastroenterology 2016年第37期22卷 8375-8381页

作者： Hong Shi Su-Yu Chen Yong-Guang Wang Sheng-Jun Jiang He-Li Cai Kai Lin Zhao-Fei Xie Fen-Fang Dong Department of Gastro- intestinal Endoscopy Fujian Provincial Cancer Hospital Affiliated Cancer Hospital of Fujian Medical University Department of Minimally Invasive Surgery Beijing Chuiyangliu Hospital Institute of Minimally Invasive Medicine of Tongji University Department of Gastroenterology Fuzhou Seventh Hospital Department of General Surgery Fuzhou Seventh Hospital Faculty of Medical Technology and Engineering Fujian Medical University

AIM To introduce natural orifice transgastric endoscopic surgery(NOTES) tube ileostomy using pelvis-directed submucosal tunneling endoscopic gastrostomy and endoscopic tube *** Six live pigs(three each in the non-survival and survival groups) were used. A double-channeled therapeutic endoscope was introduced perorally into the stomach. A gastrostomy was made using a 2-cmtransversal mucosal incision following the creation of a 5-cm longitudinal pelvis-directed submucosal tunnel. The pneumoperitoneum was established via the endoscope. In the initial three operations of the series, a laparoscope was transumbilically inserted for guiding the tunnel direction, intraperitoneal spatial orientation and distal ileum identification. Endoscopic tube ileostomy was conducted by adopting an introducer method and using a Percutaneous Endoscopic Gastrostomy Catheter Kit equipped with the Loop Fixture. The distal tip of the 15 Fr catheter was placed toward the proximal limb of the ileum to optimize intestinal content drainage. Finally, the tunnel entrance of the gastrostomy was closed using nylon endoloops with the aid of a twin grasper. The gross and histopathological integrity of gastrostomy closure and the abdominal wall-ileum stoma tract formation were assessed 1 wk after the *** Transgastric endoscopic tube ileostomy was successful in all six pigs, without major bleeding. The mean operating time was 71 min(range: 60-110 min). There were no intraoperative complications or hemodynamic instability. The post-mortem, which was conducted 1-wk postoperatively, showed complete healing of the gastrostomy and adequate stoma tract formation of *** Transgastric endoscopic tube ileostomy is technically feasible and reproducible in an animal model, and this technique is worthy of further improvement.

关键词： Natural orifice transluminal endoscopic surgery Tube ileostomy endoloop Pigs Submucosal tunneling

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

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World Journal of Gastrointestinal Endoscopy 2015年第15期7卷 1186-1190页

作者： Su-Yu Chen Hong Shi Sheng-Jun Jiang Yong-Guang Wang Kai Lin Zhao-Fei Xie Xiao-Jing Liu Department of Gastrointestinal Endoscopy Fujian Provincial Tumor HospitalTeaching Hospital of Fujian Medical University Depart-ment of Minimally Invasive Surgery Beijing Chuiyangliu HospitalInstitute of Minimally Invasive Medicine of Tongji University Department of General Surgery Fuzhou Seventh Hospital

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.

关键词： Endoscopic gastrojejunostomy endoloop Endoscopic c

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