INTRODUCTION: Gastric closure is a key consideration in NOTES. Numerous closure methods have been reported, but none stands out as superior. Whatever the method, it should be effective, durable, tight, and easy to perform. We report our results with a new enteric closure device: Loop-Anchor Purse-String (LAPS). METHODS: Our method was previously described on explanted […]
Introduction: This study reports the first clinical series using the TAS device in a feasibility study of endoscopic polypectomy as an alternative to laparoscopic colectomy (LC) for endoscopically unresectable polyps. TAS is a novel T-tag system for endoscopic placement of sutures which facilitates closure of larger defects from advanced endolumenal or translumenal endoscopic procedures. Such […]
BACKGROUND: Numerous methods have been described for gastrotomy creation during Natural Orifice Translumenal Endoscopic Surgery (NOTES). These techniques are often blind, difficult to perform, or require temporary placement of a gastrostomy tube. The objective of this study is to create a safer method of NOTES gastrotomy creation.METHODS: A novel endoscopic cap suction technique was used […]
OBJECTIVE(S): We validated Natural Orifice Translumenal Endoscopic Surgery (NOTES) in a human trial of ten patients undergoing diagnostic transgastric endoscopic peritoneoscopy (DTEP) for staging of pancreatic head masses. Reported herein is an update with 10 additional patients.METHODS: Patients in this IRB approved human trial were scheduled to undergo diagnostic laparoscopy for abdominal staging of a […]
OBJECTIVE(S): Diagnostic transgastric endoscopic peritoneoscopy (DTEP) has been used as a staging tool to evaluate the abdomen via a natural orifice. Visualization of the abdominal wall is excellent after transgastric endoscopic access. We now present our experience with transgastric endoscopic peritoneoscopy (TEP) to direct trocar placement and adhesiolysis in patients undergoing laparoscopic roux-en-y gastric bypass […]