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NOTES: current status and expectations

NOTES: Aktueller Stand und Zukunft

  • Review article
  • Published:
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Zusammenfassung

GRUNDLAGEN: Um die Größe von Hautinzisionen zu minimieren, hat sich die minimal invasive Chirurgie in den letzten Jahren weiterentwickelt. Der faszinierendste Schritt ist nun Natural Orifice Tranlumenal Endoscopic Surgery (NOTES), also endoskopische Chirurgie über natürliche Körperöffnungen. In dieser Arbeit wird der derzeitige Stand von NOTES evaluiert. METHODIK: Übersicht zu NOTES. ERGEBNISSE: NOTES wird derzeit an Tiermodellen optimiert und findet auch schon Anwendung am Menschen. Die technische Herausforderung besteht in der Entwicklung von neuen, flexiblen, multifunktionalen Endoskopen und Instrumenten, um NOTES sicher, rasch und flexibel zu gestalten. SCHLUSSFOLGERUNGEN: NOTES ist vielversprechend und wird die chirurgische Routine durch minimales operatives Trauma und schnelle Genesung revolutionieren. Die Zukunft wird ideale Anwendungen für NOTES zeigen.

Summary

BACKGROUND: Surgeons are striving to minimize the surgical incisions. Minimal invasive surgery is progressing over the years. The most exciting move is Natural Orifice Transluminal Endoscopic Surgery. The aim of this article is to evaluate the current evolution and future prospects of natural orifice transluminal endoscopic surgery. METHODS: Medline search was used for the published articles through March–May 2008 relevant to natural orifice transluminal endoscopic surgery. About 147 articles were published and 85 papers were selected for this review. RESULTS: Extensive activities are on to study NOTES on animal models, to try NOTES on human beings, and to provide training, research and scientific meetings. Technical refinement to produce an ideal flexible scope and access closure devices is continuing to make NOTES procedures quick, safe and practical. CONCLUSIONS: The current NOTES situation is promising. We expect NOTES to refine current surgical practice to provide minimal operative and postoperative trauma and rapid recovery through useful clinical applications in the near future.

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References

  • Pai RD, Fong DG, Bundga ME, Odze RD, Rattner DW, Thompson CC. Transcolonic endoscopic cholecystectomy: a NOTES survival study in a porcine model (with video). Gastrointest Endosc 2006;64:428–34

    Article  PubMed  Google Scholar 

  • Fong DG, Pai RD, Thompson CC. Transcolonic endoscopic abdominal exploration: a NOTES survival study in a porcine model. Gastrointest Endosc 2007;65:312–8

    Article  PubMed  Google Scholar 

  • Wirtschafter SK, Kaufman H. Endoscopic appendectomy. Gastrointest Endosc 1976;22:173–4

    PubMed  CAS  Google Scholar 

  • Willingham FF, Brugge WR. Taking NOTES: translumenal flexible endoscopy and endoscopic surgery. Curr Opin Gastroenterol 2007;23:550–5

    Article  PubMed  Google Scholar 

  • Gettman MT, Cadeddu JA. Natural orifice translumenal endoscopic surgery (NOTES) in urology: initial experience. J Endourol 2008;22:783–8

    Article  PubMed  Google Scholar 

  • Onders R, McGee MF, Marks J, Chak A, Schilz R, Rosen MJ, Ignagni A, Faulx A, Elmo MJ, Schomisch S, Ponsky J. Diaphragm pacing with natural orifice transluminal endoscopic surgery: potential for difficult-to-wean intensive care unit patients. Surg Endosc 2007;21:475–9

    Article  PubMed  CAS  Google Scholar 

  • Sumiyama K, Gostout CJ, Rajan E, Bakken TA, Knipschield MA. Transesophageal mediastinoscopy by submucosal endoscopy with mucosal flap safety valve technique. Gastrointest Endosc 2007;65:679–83

    Article  PubMed  Google Scholar 

  • Swanstrom LL, Whiteford M, Khajanchee Y. Developing essential tools to enable transgastric surgery. Surg Endosc 2008;22:600–4

    Article  PubMed  CAS  Google Scholar 

  • Morales MP, Mancini GJ, Miedema BW, Rangnekar NJ, Koivunen DG, Ramshaw BJ, Eubanks WS, Stephenson HE. Integrated flexible endoscopy training during surgical residency. Surg Endosc 2008;23 [Epub ahead of print]

  • Steele K, Schweitzer MA, Lyn-Sue J, Kantsevoy SV. Flexible transgastric peritoneoscopy and liver biopsy: a feasibility study in human beings (with videos). Gastrointest Endosc 2008;26 [Epub ahead of print]

  • Bergström M, Swain P, Park PO. Early clinical experience with a new flexible endoscopic suturing method for natural orifice transluminal endoscopic surgery and intraluminal endosurgery (with videos). Gastrointest Endosc 2008;67:528–33

    Article  PubMed  Google Scholar 

  • Dolz C, Noguera JF, Martín A, Vilella A, Cuadrado A. Transvaginal cholecystectomy (NOTES) combined with minilaparoscopy. Rev Esp Enferm Dig 2007;99:698–702

    Article  PubMed  CAS  Google Scholar 

  • Bessler M, Stevens PD, Milone L, Hogle NJ, Durak E, Fowler D. Transvaginal laparoscopic cholecystectomy: laparoscopically assisted. Surg Endosc 2008;6 [Epub ahead of print]

  • Mellinger JD, MacFadyen BV, Kozarek RA, Soper ND, Birkett DH, Swanstrom LL. Initial experience with a novel endoscopic device allowing intragastric manipulation and plication. Surg Endosc 2007;21:1002–5

    Article  PubMed  Google Scholar 

  • Box GN, Lee HJ, Santos RJ, Abraham JB, Louie MK, Gamboa AJ, Alipanah R, Deane LA, McDougall EM, Clayman RV. Rapid communication: robot-assisted NOTES nephrectomy: initial report. J Endourol 2008;22:503–6

    Article  PubMed  Google Scholar 

  • Branco AW, Filho AJ, Kondo W, Noda RW, Kawahara N, Camargo AA, Stunitz LC, Valente J, Rangel M. Hybrid transvaginal nephrectomy. Eur Urol 2007;5 [Epub ahead of print]

  • Hondo FY, Giordano-Nappi JH, Maluf-Filho F, Matuguma SE, Sakai P, Poggetti R, Mori ND, Fontes B, Birolini D, Ishioka S. Transgastric access by balloon overtube for intraperitoneal surgery. Surg Endosc 2007;21:1867–9

    Article  PubMed  Google Scholar 

  • Harken AH. The general, general surgeon. Am J Surg 1998;176:494–6

    Article  PubMed  CAS  Google Scholar 

  • Fong DG, Ryou M, Pai RD, Tavakkolizadeh A, Rattner DW, Thompson CC. Transcolonic ventral wall hernia mesh fixation in a porcine model. Endoscopy 2007;39:865–9

    Article  PubMed  CAS  Google Scholar 

  • Simopoulos C, Kouklakis G, Zezos P, Ypsilantis P, Botaitis S, Tsalikidis C, Pitiakoudis M. Peroral transgastric endoscopic procedures in pigs: feasibility, survival, questionings, and pitfalls. Surg Endosc 2008;24 [Epub ahead of print]

  • Magno P, Giday SA, Dray X, Chung SS, Cotton PB, Gostout CJ, Hawes RH, Kalloo AN, Pasricha PJ, White JJ, Assumpcao L, Marohn MR, Gabrielson KL, Kantsevoy SV. A new stapler-based full-thickness transgastric access closure: results from an animal pilot trial. Endoscopy 2007;39:876–80

    Article  PubMed  CAS  Google Scholar 

  • Varadarajulu S, Tamhane A, Drelichman ER. Patient perception of natural orifice transluminal endoscopic surgery as a technique for cholecystectomy. Gastrointest Endosc 2008;18 [Epub ahead of print]

  • Lima E, Rolanda C, Pêgo JM, Henriques-Coelho T, Silva D, Osório L, Moreira I, Carvalho JL, Correia-Pinto J. Third-generation nephrectomy by natural orifice transluminal endoscopic surgery. J Urol 2007;178:2648–54

    Article  PubMed  Google Scholar 

  • Onders RP, McGee MF, Marks J, Chak A, Rosen MJ, Ignagni A, Faulx A, Schomisch S, Ponsky J. Natural orifice transluminal endoscopic surgery (NOTES) as a diagnostic tool in the intensive care unit. Surg Endosc 2007;21:681–3

    Article  PubMed  Google Scholar 

  • Kantsevoy SV, Hu B, Jagannath SB, Vaughn CA, Beitler DM, Chung SS, Cotton PB, Gostout CJ, Hawes RH, Pasricha PJ, Magee CA, Pipitone LJ, Talamini MA, Kalloo AN. Transgasric endoscopic splenectomy:is it possible? Surg Endosc 2006;20:522–5

    Article  PubMed  CAS  Google Scholar 

  • Moyer MT, Pauli EM, Haluck RS, Mathew A. A self-approximating transluminal access technique for potential use in NOTES: an ex vivo porcine model (with video). Gastrointest Endosc 2007;66:974–8

    Article  PubMed  Google Scholar 

  • von Delius S, Huber W, Feussner H, Wilhelm D, Karagianni A, Henke J, Preissel A, Schneider A, Schmid RM, Meining A. Effect of pneumoperitoneum on hemodynamics and inspiratory pressures during natural orifice transluminal endoscopic surgery (NOTES): an experimental, controlled study in an acute porcine model. Endoscopy 2007;39:854–61

    Article  PubMed  CAS  Google Scholar 

  • Wéber G, Hossein B, Ferencz A. Natural orifice transluminal endoscopic surgery. Magy Seb 2007;60:277–83

    PubMed  Google Scholar 

  • Dray X, Gabrielson KL, Buscaglia JM, Shin EJ, Giday SA, Surti VC, Assumpcao L, Marohn MR, Magno P, Pipitone LJ, Redding SK, Kalloo AN, Kantsevoy SV. Air and fluid leak tests after NOTES procedures: a pilot study in a live porcine model (with videos). Gastrointest Endosc 2008;8 [Epub ahead of print]

  • Meining A, Wilhelm D, Burian M, Dundoulakis M, Schneider A, von Delius S, Feussner H. Development, standardization, and evaluation of NOTES cholecystectomy using a transsigmoid approach in the porcine model: an acute feasibility study. Endoscopy 2007;39:860–4

    Article  PubMed  CAS  Google Scholar 

  • Wilhelm D, Meining A, von Delius S, Fiolka A, Can S, Hann von Weyhern C, Schneider A, Feussner H. An innovative, safe and sterile sigmoid access (ISSA) for NOTES. Endoscopy 2007;39:401–6

    Article  PubMed  CAS  Google Scholar 

  • Lehman AC, Rentschler ME, Farritor SM, Oleynikov D. Endoluminal minirobots for transgastric peritoneoscopy. Minim Invasive Ther Allied Technol 2006;15:384–8

    Article  PubMed  Google Scholar 

  • Zornig C, Emmermann A, von Waldenfels HA, Mofid H. Laparoscopic cholecystectomy without visible scar: combined transvaginal and transumbilical approach. Endoscopy 2007;39:913–5

    Article  PubMed  CAS  Google Scholar 

  • Bardaro SJ, Swanström L. Development of advanced endoscopes for Natural Orifice Transluminal Endoscopic Surgery (NOTES). Minim Invasive Ther Allied Technol 2006;15:378–83

    Article  PubMed  Google Scholar 

  • Vosburgh KG, San José Estépar R. Natural orifice transluminal endoscopic surgery (NOTES): an opportunity for augmented reality guidance. Stud Health Technol Inform 2007;125:485–90

    PubMed  Google Scholar 

  • Ryou M, Fong DG, Pai RD, Rattner DW, Thompson CC. Transluminal closure for NOTES: an ex vivo study comparing leak pressures of various gastrotomy and colotomy closure modalities. Endoscopy 2008;11 [Epub ahead of print]

  • Ryou M, Fong DG, Pai RD, Tavakkolizadeh A, Rattner DW, Thompson CC. Dual-port distal pancreatectomy using a prototype endoscope and endoscopic stapler: a natural orifice transluminal endoscopic surgery (NOTES) survival study in a porcine model. Endoscopy 2007;39:881–7

    Article  PubMed  CAS  Google Scholar 

  • Bernhardt J, Gerber B, Schober HC, Kähler G, Ludwig K. NOTES-case report of a unidirectional flexible appendectomy. Int J Colorectal Dis 2008;23:547–50

    Article  PubMed  Google Scholar 

  • Rao GV, Reddy N. Transgastric appendectomy in human beings. Oral presentation at Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Conference in Dallas, Texas, 2006

  • Myers JA, Doolas A. How to teach an old dog new tricks and how to teach a new dog old tricks: bridging the generation gap to push the envelope of advanced laparoscopy. Surg Endosc 2006;20:1177–8

    Article  PubMed  Google Scholar 

  • Phee SJ, Low SC, Sun ZL, Ho KY, Huang WM, Thant ZM. Robotic system for no-scar gastrointestinal surgery. Int J Med Robot 2008;4:15–22

    PubMed  CAS  Google Scholar 

  • von Delius S, Feussner H, Wilhelm D, Karagianni A, Henke J, Schmid RM, Meining A. Transgastric in vivo histology in the peritoneal cavity using miniprobe-based confocal fluorescence microscopy in an acute porcine model. Endoscopy 2007;39:407–11

    Article  PubMed  CAS  Google Scholar 

  • Malik A, Mellinger JD, Hazey JW, Dunkin BJ, MacFadyen BV, Jr. Endoluminal and transluminal surgery: current status and future possibilities. Surg Endosc 2006;20:1179–92

    Article  PubMed  CAS  Google Scholar 

  • Pauli EM, Moyer MT, Haluck RS, Mathew A. Self-approximating transluminal access technique for natural orifice transluminal endoscopic surgery: a porcine survival study (with video). Gastrointest Endosc 2008;67:690–7

    Article  PubMed  Google Scholar 

  • Swanstrom LL. Current technology development for natural orifice transluminal endoscopic surgery. Cir Esp 2006;80:283–8

    Article  PubMed  Google Scholar 

  • Wagh MS, Thompson CC. Surgery insight: natural orifice transluminal endoscopic surgery – an analysis of work to date. Nat Clin Pract Gastroenterol Hepatol 2007;4:386–2

    Article  PubMed  Google Scholar 

  • Isariyawongse JP, McGee MF, Rosen MJ, Cherullo EE, Ponsky LE. Pure Natural Orifice Transluminal Endoscopic Surgery (NOTES) nephrectomy using standard laparoscopic instruments in the porcine model. J Endourol 2008;17 [Epub ahead of print]

  • Ryou M, Pai RD, Sauer JS, Rattner DW, Thompson CC. Evaluating an optimal gastric closure method for transgastric surgery. Surg Endosc 2007;21:677–80

    Article  PubMed  CAS  Google Scholar 

  • Ko CW, Shin EJ, Buscaglia JM, Clarke JO, Magno P, Giday SA, Chung SS, Cotton PB, Gostout CJ, Hawes RH, Pasricha PJ, Kalloo AN, Kantsevoy SV. Preliminary pneumoperitoneum facilitates transgastric access into the peritoneal cavity for natural orifice transluminal endoscopic surgery: a pilot study in a live porcine model. Endoscopy 2007;39:849–53

    Article  PubMed  Google Scholar 

  • Lowenfels AB (2008) NOTES: Is it the new JAZZ? http://www.medscape.com/viewarticle/568028, 2008

  • Fritscher-Ravens A, Patel K, Ghanbari A, Kahle E, von Herbay A, Fritscher T, Niemann H, Koehler P. Natural orifice transluminal endoscopic surgery (NOTES) in the mediastinum: long-term survival animal experiments in transesophageal access, including minor surgical procedures. Endoscopy 2007; 39:870–5

    Article  PubMed  CAS  Google Scholar 

  • Forde KA. Ethics of human research. Surg Endosc 2008; 22:577–9

    Article  PubMed  Google Scholar 

  • Kobiela J, Stefaniak T, Mackowiak M, Lachinski AJ, Sledzinski Z. NOTES-third generation surgery. Vain hopes or the reality of tomorrow? Langenbecks Arch Surg 2008;393:405–11

    Article  PubMed  Google Scholar 

  • Ko CW, Kalloo AN. Per-oral transgastric abdominal surgery. Chin J Dig Dis 2006;7:67–70

    Article  PubMed  Google Scholar 

  • Alverdy JC. NOTES: a surgeon's perspective. Gastrointest Endosc Clin N Am 2007;17:605–10

    Article  PubMed  Google Scholar 

  • Hawes RH. Advanced endoscopy and endosurgical procedures: do we need a new subspecialty? Gastrointest Endosc Clin N Am 2007;17:635–9

    Article  PubMed  Google Scholar 

  • Park PO, Bergström M, Ikeda K, Fritscher-Ravens A, Swain P. Experimental studies of transgastric gall bladdersurgery:cholecystectomy and cholecystogastric anastomosis(video). Gastrointestinal Endosc 2005;61:601–6

    Article  Google Scholar 

  • Ridwelski K, Pross M, Schubert S, Wolff S, Günther T, Kahl S, Lippert H. Combined endoscopic intragastral resection of a posterior stromal gastric tumor using an original technique. Surg Endosc 2002;16:537

    Article  PubMed  CAS  Google Scholar 

  • Pomp A. Notes on NOTES: The emperor is not wearing any clothes. Surg Endosc 2008;22:283–4

    Article  PubMed  Google Scholar 

  • Marescaux J, Dallemagne B, Perretta S, Wattiez A, Mutter D, Coumaros D.Surgery without scars: report of transluminal cholecystectomy in a human being. Arch Surg 2007;142:823–6

    Article  PubMed  Google Scholar 

  • McGee MF, Marks JM, Onders RP, Chak A, Rosen MJ, Williams CP, Jin J, Schomisch SJ, Ponsky JL. The Case Advanced Surgical Endoscopy Team [CASE-T]. Infectious implications in the porcine model of natural orifice transluminal endoscopic surgery (NOTES) with PEG-tube closure: a quantitative bacteriologic study. Gastrointest Endosc 2008;11 [Epub ahead of print]

  • Zornig C, Mofid H, Emmermann A, Alm M, von Waldenfels HA, Felixmüller C. Scarless cholecystectomy with combined transvaginal and transumbilical approach in a series of 20 patients. Surg Endosc 2008;9 [Epub ahead of print]

  • Mintz Y, Horgan S, Savu MK, Cullen J, Chock A, Ramamoorthy S, Easter DW, Talamini MA. Hybrid natural orifice translumenal surgery (NOTES) sleeve gastrectomy: a feasibility study using an animal model. Surg Endosc 2008;25 [Epub ahead of print]

  • Seaman DL, Gostout CJ, de la Mora Levy JG, Knipschield MA. Tissue anchors for transmural gut-wall apposition. Gastrointest Endosc 2006;64:577–81

    Article  PubMed  Google Scholar 

  • Giday SA, Kantsevoy SV, Kalloo AN. Principle and history of natural orifice translumenal endoscopic surgery (NOTES). Minim Invasive Ther Allied Technol 2006;15:373–7

    Article  PubMed  Google Scholar 

  • Palanivelu C, Rajan PS, Rangarajan M, Parthasarathi R, Senthilnathan P, Praveenraj P. Transumbilical flexible endoscopic cholecystectomy in humans: first feasibility study using a hybrid technique. Endoscopy 2008;40:428–31

    Article  PubMed  CAS  Google Scholar 

  • Haber GP, Crouzet S, Kamoi K, Berger A, Aron M, Goel R, Canes D, Desai M, Gill IS, Kaouk JH. Robotic NOTES (Natural Orifice Translumenal Endoscopic Surgery) in reconstructive urology: initial laboratory experience. Urology 2008;1 [Epub ahead of print]

  • Ryou M, Fong DG, Pai RD, Sauer J, Thompson CC. Evaluation of a novel access and closure device for NOTES applications: a transcolonic survival study in the porcine model (with video). Gastrointest Endosc 2008;67:964–9

    Article  PubMed  Google Scholar 

  • Meireles OR, Kantsevoy SV, Assumpcao LR, Magno P, Dray X, Giday SA, Kalloo AN, Hanly EJ, Marohn MR. Reliable gastric closure after natural orifice translumenal endoscopic surgery (NOTES) using a novel automated flexible stapling device. Surg Endosc 2008;10 [Epub ahead of print]

  • Zorron R, Maggioni LC, Pombo L, Oliveira AL, Carvalho GL, Filgueiras M. NOTES transvaginal cholecystectomy: preliminary clinical application. Surg Endosc 2008;22:542–7

    Article  PubMed  CAS  Google Scholar 

  • Mintz Y, Horgan S, Cullen J, Falor E, Talamini MA. Dual-lumen natural orifice translumenal endoscopic surgery (NOTES): a new method for performing a safe anastomosis. Surg Endosc 2008;22:348–51

    Article  PubMed  CAS  Google Scholar 

  • Fritscher-Ravens A, Patel K, Ghanbari A, Kahle E, von Herbay A, Fritscher T, Niemann H, Koehler P. Natural orifice transluminal endoscopic surgery (NOTES) in the mediastinum: long-term survival animal experiments in transesophageal access, including minor surgical procedures. Endoscopy 2007;39:870–5

    Article  PubMed  CAS  Google Scholar 

  • McGee MF, Marks JM, Jin J, Williams C, Chak A, Schomisch SJ, Andrews J, Okada S, Ponsky JL. Complete endoscopic closure of gastric defects using a full-thickness tissue plicating device. J Gastrointest Surg 2008;12:38–45

    Article  PubMed  Google Scholar 

  • Lima E, Rolanda C, Pêgo JM, Henriques-Coelho T, Silva D, Osório L, Moreira I, Carvalho JL, Correia-Pinto J. Third-generation nephrectomy by natural orifice transluminal endoscopic surgery. J Urol 2007;178:2648–54

    Article  PubMed  Google Scholar 

  • Whiteford MH, Denk PM, Swanström LL. Feasibility of radical sigmoid colectomy performed as natural orifice translumenal endoscopic surgery (NOTES) using transanal endoscopic microsurgery. Surg Endosc 2007;21:1870–4

    Article  PubMed  CAS  Google Scholar 

  • Scott DJ, Tang SJ, Fernandez R, Bergs R, Goova MT, Zeltser I, Kehdy FJ, Cadeddu JA. Completely transvaginal NOTES cholecystectomy using magnetically anchored instruments. Surg Endosc 2007;21:2308–16

    Article  PubMed  Google Scholar 

  • Hazey JW, Narula VK, Renton DB, Reavis KM, Paul CM, Hinshaw KE, Muscarella P, Ellison EC, Melvin WS. Natural-orifice transgastric endoscopic peritoneoscopy in humans: initial clinical trial. Surg Endosc 2007;22:16–20

    Article  PubMed  Google Scholar 

  • Lima E, Henriques-Coelho T, Rolanda C, Pêgo JM, Silva D, Carvalho JL, Correia-Pinto J. Transvesical thoracoscopy: a natural orifice translumenal endoscopic approach for thoracic surgery. Surg Endosc 2007;21:854–8

    Article  PubMed  Google Scholar 

  • Onders R, McGee MF, Marks J, Chak A, Schilz R, Rosen MJ, Ignagni A, Faulx A, Elmo MJ, Schomisch S, Ponsky J. Diaphragm pacing with natural orifice transluminal endoscopic surgery: potential for difficult-to-wean intensive care unit patients. Surg Endosc 2007;21:475–9

    Article  PubMed  CAS  Google Scholar 

  • Fong DG, Pai RD, Thompson CC. Transcolonic endoscopic abdominal exploration: a NOTES survival study in a porcine model. Gastrointest Endosc 2007;65:312–8

    Article  PubMed  Google Scholar 

  • Jagannath SB, Kantsevoy SV, Vaughn CA, Chung SS, Cotton PB, Gostout CJ, Hawes RH, Pasricha PJ, Scorpio DG, Magee CA, Pipitone LJ, Kalloo AN. Peroral transgastric endoscopic ligation of fallopian tubes with long-term survival in a porcine model. Gastrointest Endosc 2005;61:449–53

    Article  PubMed  Google Scholar 

  • Kantsevoy SV, Jagannath SB, Niiyama H, Isakovich NV, Chung SS, Cotton PB, Gostout CJ, Hawes RH, Pasricha PJ, Kalloo AN. A novel safe approach to the peritoneal cavity for per-oral transgastric endoscopic procedures. Gastrointest Endosc 2007;65:497–500

    Article  PubMed  Google Scholar 

  • Kantsevoy SV, Niiyama H, Jagannath SB, Chung SS, Cotton PB, Gostout CJ, Hawes RH, Pasricha PJ, Magee CA, Vaughn CA, Barlow D, Kawano H, Shimonaka H, Kalloo AN. The endoscopic transilluminator: an endoscopic device for identification of the proximal jejunum for transgastric endoscopic gastrojejunostomy. Gastrointest Endosc 2006;63:1055–8

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • Merrifield BF, Wagh MS, Thompson CC. Peroral transgastric organ resection: a feasibility study in pigs. Gastrointest Endosc 2006;63:693–7

    Article  PubMed  Google Scholar 

  • www.cumc.columbia.edu, date of access March 2008

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  1. Department of General Surgery, Princess Royal University Hospital, Orpington, Kent, UK

    A. Hussain & H. Mahmood

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Hussain, A., Mahmood, H. NOTES: current status and expectations. Eur Surg 40, 176–186 (2008). https://doi.org/10.1007/s10353-008-0414-0

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