Skip to main content
SpringerLink
Log in

Transgastric access By balloon overtube for intraperitoneal surgery

  • Endoluminal
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

The final frontier in endoscopy is the peritoneal cavity which was recently reached through natural orifice transluminal endoscopic surgery (NOTES). Endoscopic perforation caused by NOTES has been the major challenge for this procedure because of the risk of peritonitis and consequent complications. We describe in a dog model the use of an overtube system, one of them with a balloon, to access the peritoneal cavity by NOTES. It permits direct access to the peritoneal cavity from the mouth and also allows the performance of a controlled perforation and provides conditions for a safe closure of the gastric wall.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Cotton PB (1997) Endoscopy in crisis: the challenge of new technology. Gastrointest Endosc 46:189–91

    Article  PubMed  CAS  Google Scholar 

  2. Lui R, Chand B, Ponsky J (2005) The future of surgical endoscopy. Endoscopy 37:38–41

    Article  Google Scholar 

  3. Kalloo AN, Kantsevoy SV, Singh VK, et al. (2000) Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity (abstract). Gastroenterology 118:A1039

    Article  Google Scholar 

  4. Kalloo AN, Singh VK, Jagannath SB, et al. (2004) Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest Endosc 60:114–7

    Article  PubMed  Google Scholar 

  5. Kantsevoy SV, Jagannasth SB, Niiyama H, et al. (2005) Endoscopic gastrojejunostomy with survival in a porcine model. Gastointest Endosc 62:287–92

    Article  Google Scholar 

  6. Martinsen TC, Bergh K, Waldum H (2005) Gastric juice: a barrier against infectious diseases. Basic Clin Pharmacol Toxicol 96:94–102

    Article  PubMed  CAS  Google Scholar 

  7. Lamadé W, Hochberger J (2006) Transgastric surgery: avoiding pitfalls in the development of a new technique. Gastrointest Endosc 63:698–700

    Article  PubMed  Google Scholar 

  8. Merrifield B, Wagh M, Thempson C (2006) Peroral transgastric organ resection in the abdomen: a feasibility study in pigs. Gastrointest Endosc 63:693–7

    Article  PubMed  Google Scholar 

  9. Park PO, Bergstrom M, Ikeda K, et al. (2005) Experimental studies of transgastric gallbladder surgery: cholecystectomy and cholecystogastric anastomosis. Gastrointest Endosc 61:601–6

    Article  PubMed  Google Scholar 

  10. Wagh MS, Merrifield BF, Thompson CC (2006) Survival studies after endoscopic transgastric oophorectomy and tubectomy in a porcine model. Gastrointest Endosc 63:473–8

    Article  PubMed  Google Scholar 

  11. Wagh MS, Merrifield BF, Thompson CC (2005) Endoscopic transgastric abdominal exploration and organ resection: initial experience in a porcine model. Clin Gastoenterol Hepatol 9:892–6

    Article  Google Scholar 

  12. Pai RD, Fong DG, Bundga ME, et al. (2006) Transcolonic endoscope cholecystectomy: a NOTES survival study in a porcine model. Gastrointest Endosc 64:428–34

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gastrointestinal Endoscopy Unit of Gastroenterology Department, Hospital of Clinics of São Paulo University Medical School, São Paulo, Brazil

    Fábio Yuji Hondo, José Humberto Giordano-Nappi, Fauze Maluf-Filho, Sergio Eiji Matuguma, Paulo Sakai & Shinichi Ishioka

  2. Emergency Surgery Service and Laboratory of Medical Investigation (LIM-62), Hospital of Clinics of São Paulo University Medical School, São Paulo, Brazil

    Renato Poggetti, Newton Djin Mori, Belchor Fontes & Dario Birolini

Authors
  1. Fábio Yuji Hondo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. José Humberto Giordano-Nappi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Fauze Maluf-Filho
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sergio Eiji Matuguma
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Paulo Sakai
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Renato Poggetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Newton Djin Mori
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Belchor Fontes
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Dario Birolini
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Shinichi Ishioka
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Fábio Yuji Hondo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hondo, F.Y., Giordano-Nappi, J.H., Maluf-Filho, F. et al. Transgastric access By balloon overtube for intraperitoneal surgery. Surg Endosc 21, 1867–1869 (2007). https://doi.org/10.1007/s00464-007-9447-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-007-9447-x

Keywords

Search

Navigation