Endoscopy during laparoscopy

Abstract

Intraluminal CO2 was absorbed faster than intraluminal air. Although decreased bowel distention is certainly of practical value, endotracheal intubation needs to be done to effectively ventilate the absorbed CO2.

An Intestinal Occlusion Device for Prevention of Small Bowel Distention During Transgastric Natural Orifice Transluminal Endoscopic Surgery

“…6–8 The use of carbon dioxide instead of air allows for much faster absorption of the luminal gas but does not eliminate the problem of distention. 10 Thus placement of an intestinal occlusion device at the beginning of the procedure would be of benefit both for the intended procedure and in the event of a complication requiring immediate laparotomy.…”

“…6–8 During endoscopic resection of esophageal or gastric cancers by use of carbon dioxide insufflation, the reported range of gas flow into the gastrointestinal tract was approximately 1.5 to 3 L/min. 13 Such distention has been identified as a potential barrier to the clinical practice of NOTES by the Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR) 9,10 ; however, no reliable technique to prevent distension has been described to prevent it during transgastric access as of yet.…”