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Access: Transgastric

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Abstract

The original idea of natural orifice translumenal endoscopic surgery was to create a port of entry into the peritoneal cavity through the gastric wall. Subsequently, other routes of access were developed to surmount the challenges generated by the original concept and extend the scope of existing natural orifice accesses, such as the transvaginal or transanal route. Until then, perforation of the stomach was considered a complication of interventional endoscopy. Gauderer and Ponsky were the first to break this dogma in 1980 by developing the technique of percutaneous placement of a gastrostomy tube under endoscopic control. Another currently widely accepted procedure that involves a gastric perforation, endoscopic pseudocyst drainage, dates to 1985. Likewise, pancreatic necrosectomy and pancreatic pseudocyst gastrotomy both breach the integrity of the visceral wall. Finally, fine-needle aspiration, which typically involves translumenal puncture, is a routine component of endoscopic ultrasound examinations, with negligible rates of postprocedure complications. Even if some purists consider pancreatic necrosectomy via a posterior gastrotomy as the first published NOTES procedure, it is in 2004 that Kalloo et al. brought new fuel and new prospective to this approach.

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The authors declare no conflict of interest and no financial or commercial disclosure.

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Authors and Affiliations

  1. Department of Digestive and Endocrine Surgery and IRCAD, (Institut de Recherche contre les Cancers de l’Appareil Digestif), University Hospital of Strasbourg, 1, Place De L’Hopital, Strasbourg, 67091, France

    Bernard Dallemagne M.D., Silvana Perretta M.D. & Michele Diana M.D.

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  1. Bernard Dallemagne M.D.
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  2. Silvana Perretta M.D.
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  3. Michele Diana M.D.
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Correspondence to Bernard Dallemagne M.D. .

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Editors and Affiliations

  1. , Department of Urology, East Surrey Hospital, Canada Avenue, Redhill, RH1 5RH, United Kingdom

    Abhay Rane

  2. , Department of Urology, University of Texas Southwestern Medical, Harry Hines Boulevard, Dallas, 75390, Texas, USA

    Jeffrey A. Cadeddu

  3. , Department of Urology, USC Institute of Urology, San Pablo Street, Los Angeles, 90089, California, USA

    Mihir M. Desai

  4. USC Institute of Urology, San Pablo Street, Los Angeles, 90089, California, USA

    Inderbir S. Gill

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Dallemagne, B., Perretta, S., Diana, M. (2013). Access: Transgastric. In: Rane, A., Cadeddu, J., Desai, M., Gill, I. (eds) Scar-Less Surgery. Springer, London. https://doi.org/10.1007/978-1-84800-360-6_8

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