Transluminal EndosurgerySingle Lumen Access Anastomotic Device for Flexible Endoscopy

Current status and perspective of endoscopic ultrasonography‐guided gastrojejunostomy: endoscopic ultrasonography‐guided double‐balloon‐occluded gastrojejunostomy (with videos)

“…Although successful EUS-guided gastrojejunostomy has been reported in pigs [21][22][23], there are several hurdles in accomplishing this procedure in the human clinical setting as follows: (1) difficulty of transgastric puncture into the collapsed jejunum using a 19-gauge FNA needle without any preparation; (2) no standard devices for lumen-apposing of the stomach and jejunum throughout the procedure; and (3) no dedicated tool for the creation of anastomosis of nonadherent lumens.…”

“…Since then, several investigators reported on gastrojejunostomy using flexible forward-view endoscopy in mainly animal studies and a few clinical studies using flared-type metal stents, magnets or natural orifice transluminal endoscopic surgery [14][15][16][17][18][19][20]. In 2002, Fritscher-Ravens et al reported on EUS-guided gastrojejunostomy in pigs using a special compression button [21,22]. In 2012, Binmoeller and Shah [23] introduced the lumen-apposing metal stent, which can be attached between the gastric and jejunal walls as an ideal device for EUS-guided gastrojejunostomy in a pig model.…”

Endoscopic closure of gastric access in perspective NOTES: an update on techniques and technologies

“…In 2003 Swain proposed a technology and technique consisting of a series of double tags that are positioned in a relatively easy way around the defect, through the wall, to be then approximated in pairs, and locked at the same time by various locking mechanisms [9]. In animal survival experiments, full-thickness resection of an average of 18 mm was created.…”

NOTES—third generation surgery. Vain hopes or the reality of tomorrow?

“…Needle-guided transgastric endosurgery has been used for gastropexy to the diaphragm, hiatus hernia repair, and endosurgical anastomosis of the gallbladder to the stomach [2,16,17]. In addition, NOTES-like procedures, like percutaneous endoscopic gastrostomy (PEG), endoscopic pancreatic pseudocyst drainage, or needle puncture of structures through the gastric wall, have been practiced for years [2].…”