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What the radiologist needs to know about gastrointestinal endoscopic surgical procedures

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Abstract

Natural orifice transluminal endoscopic surgery (NOTES) is a novel surgical approach, currently performed for an array of conditions. Endoscopic procedures offer significant benefits, including lower cost, no surgical incisions, and shorter hospital stays. These advantages align with the current trends in health care, namely a push for “cost-effective care.” There are a multitude of health issues which are now being addressed by the endoscopic surgical approach, including peroral endoscopic myotomy (POEM), which is a relatively new technique used in the treatment of achalasia. Endoscopic treatment utilized for GERD includes transoral incisionless fundoplication. Endoscopic bariatric surgical procedures include intragastric balloon placement, endoscopic sleeve gastroplasty, and revision of prior bariatric procedures including Roux-en-Y gastric bypass and conventional gastric sleeve procedures. Endoscopic clips are routinely utilized for achieving hemostasis, treating iatrogenic gastric and bowel ulcerations and perforations and for the closure of enteric fistulization. Novel endoscopic procedures are now replacing conventional surgery due to their non-invasive nature, faster recovery and lower healthcare costs. Radiologists need to understand how these procedures are performed, as well as expected post-procedural imaging appearance and potential complications.

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Authors and Affiliations

  1. Department of Radiological Sciences, University of California, Irvine, 101 The City Dr South, Bldg 1, Suite 0115, Orange, CA, 92868, USA

    Chandana Lall, Anastasia A. Cruz, Adam A. Rudd & Thangavijayan Bosemani

  2. Department of Radiology, Clinical Emergency Hospital, Cluj County, 3-5 Clinicilor, Cluj-Napoca, 400006, Cluj County, Romania

    Vlad Bura

  3. Division of Gastroenterology & Hepatology, Department of Medicine, University of California, Irvine, 3rd Floor, 101 The City Dr South, Bldg 23, Orange, CA, 92868, USA

    Kenneth J. Chang

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  1. Chandana Lall
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Correspondence to Vlad Bura.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

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Lall, C., Cruz, A.A., Bura, V. et al. What the radiologist needs to know about gastrointestinal endoscopic surgical procedures. Abdom Radiol 43, 1482–1493 (2018). https://doi.org/10.1007/s00261-017-1318-x

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