Cerca
image du produit
Gastrointestinal Endoscopy

Abbonarsi

Novel EUS-guided gastrojejunostomy technique using a new double-balloon enteric tube and lumen-apposing metal stent (with videos) - 16/11/13

Doi : 10.1016/j.gie.2013.09.025 
Takao Itoi, MD, PhD, FASGE 1, ⁎, Fumihide Itokawa, MD, PhD 1, Toshio Uraoka, MD 2, Takuji Gotoda, MD, PhD, FASGE 1, Joichiro Horii, MD, PhD 2, Osamu Goto, MD, PhD 2, Fuminori Moriyasu, MD 1, Jong Ho Moon, MD, PhD 4, Yuko Kitagawa, MD, PhD 3, Naohisa Yahagi, MD, PhD 2
1 Departments of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan 
2 Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University, Tokyo, Japan 
3 Department of Surgery, School of Medicine, Keio University, Tokyo, Japan 
4 Department of Gastroenterology, Soon Chun Hyang University School of Medicine, Seoul, Korea 

∗Reprint requests: Takao Itoi, MD, PhD, FASGE, Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.

Abstract

Background

Surgical gastrojejunostomy is associated with relatively high morbidity and mortality rates. However, current experimental EUS-guided gastrojejunostomy information is limited.

Objective

To evaluate a novel EUS-guided gastrojejunostomy technique using a new enteric balloon and lumen-apposing metal stent.

Design

Animal experiment.

Setting

Animal laboratory at a referral center.

Subjects and Interventions

In 5 pigs, gastrojejunostomies were created under EUS guidance. Fully covered lumen-apposing stents were placed between the stomach and the jejunum.

Main Outcome Measurements

Technical success and adverse events of EUS-guided gastrojejunostomy.

Results

All stents, with 1 exception, were successfully deployed without any adverse events. The mean time to stent placement was 44.2 minutes (range 28-64 minutes). All animals showed normal eating behavior without signs of infection for 1 month after the procedure. Endoscopic imaging of the stomach site showed the stent to be patent and stable, without dislodgment, in all of the pigs. Necropsy showed complete adhesion between the stomach and the jejunum wall.

Limitations

Pilot study.

Conclusions

Creation of an EUS-guided gastrojejunostomy by using a novel enteric balloon and metal stent appears to be promising as a minimally invasive treatment.

Il testo completo di questo articolo è disponibile in PDF.

Abbreviation : SEMS


Mappa


 DISCLOSURE: The following author disclosed financial relationships relevant to this publication: Dr Itoi is a speaker for Olympus and a consultant to Xlunema. The other authors disclosed no financial relationships relevant to this publication. The novel reflected metal stents were provided free of charge by Taewoong-Medical Co Ltd (Seoul, Korea). This study was funded in part by Taewoong-Medical.
 If you would like to chat with an author of this article, you may contact Dr Itoi at itoi@tokyo-med.ac.jp.


© 2013  American Society for Gastrointestinal Endoscopy. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
Aggiungere alla mia biblioteca Togliere dalla mia biblioteca Stampare
Esportazione

    Citazioni Export

  • File

    •

  • Contenuto

    •

Vol 78 - N° 6

P. 934-939 - dicembre 2013 Ritorno al numero
Articolo precedente Articolo precedente
  • Novel method of stent insertion for malignant lower rectal obstruction with proximal releasing delivery system (with video)
  • Kee Myung Lee, Sun Gyo Lim, Sung Jae Shin, Jin Hong Kim, Dae Hwan Kang, Jae Keun Kim, Jae Chul Hwang, Chang-Il Kwon, Jae Yeon Cheong, Byung Moo Yoo
| Articolo seguente Articolo seguente
  • En bloc resection of large gastric submucosal tumor with endoscopic submucosal dissection
  • Horng-Yuan Wang, Shou-Chuan Shih, Yent-Bo Chen, Chen-Wang Chang, Ming-Jen Chen

Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
L'accesso al testo integrale di questo articolo richiede un abbonamento.

Già abbonato a @@106933@@ rivista ?

@@150455@@ Voir plus

Il mio account

Aide & support

Dichiarazione CNIL

EM-CONSULTE.COM è registrato presso la CNIL, dichiarazione n. 1286925.

Ai sensi della legge n. 78-17 del 6 gennaio 1978 sull'informatica, sui file e sulle libertà, Lei puo' esercitare i diritti di opposizione (art.26 della legge), di accesso (art.34 a 38 Legge), e di rettifica (art.36 della legge) per i dati che La riguardano. Lei puo' cosi chiedere che siano rettificati, compeltati, chiariti, aggiornati o cancellati i suoi dati personali inesati, incompleti, equivoci, obsoleti o la cui raccolta o di uso o di conservazione sono vietati.
Le informazioni relative ai visitatori del nostro sito, compresa la loro identità, sono confidenziali.
Il responsabile del sito si impegna sull'onore a rispettare le condizioni legali di confidenzialità applicabili in Francia e a non divulgare tali informazioni a terzi.

Tutto il contenuto di questo sito: Copyright © 2026 Elsevier, i suoi licenziatari e contributori. Tutti i diritti sono riservati. Inclusi diritti per estrazione di testo e di dati, addestramento dell’intelligenza artificiale, e tecnologie simili. Per tutto il contenuto ‘open access’ sono applicati i termini della licenza Creative Commons.