Endoscopic suturing for refractory bilious reflux after gastroduodenostomy and gastrojejunostomy
نویسندگان
چکیده
منابع مشابه
Endoscopic Treatment of Refractory Gastroesohageal Reflux Disease
Though efficient acid suppression with proton pump inhibitors (PPIs) remains the mainstay of treatment of gastroesophageal reflux disease (GERD), some of the patients showed refractory response to PPIs, necessitating further intervention. After increasing dose of PPIs and other kinds of pharmacological intervention adopting prokinetics or others, variable endoscopic treatments are introduced fo...
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Suturing is a necessary step in any surgical operation. In flexible endoscopic surgery within and beyond the gastrointestinal tract, the task of suturing is more difficult due to limited working space and the non‐rigidity of the endoscope’s shaft making it impossible to provide a stable base for surgical manoeuvres. Besides, tactile feel is lost in the flexible endoscopic approach. Unlike in la...
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Manipulating small objects such as needles, screws or plates inside the human body during minimally invasive surgery can be very difficult for less experienced surgeons due to the loss of 3D depth perception. Classical navigation techniques are often incapable of providing support in such situations, as the augmentation of the scene with the necessary artificial markers--if possible at all--is ...
متن کاملFuture trends in endoscopic suturing.
This paper deals with future aspects and developments in endoscopic sutures, needles, needle drivers, and sewing devices. Shape memory alloys such as superelastic nickel-titanium can be used for surgical needles and hingeless needle drivers. A sewing device consists of a T-Needle which can be shuttled between the jaws of specially designed instruments. The jaws possess small elements that grip ...
متن کاملIntracorporeal Anastomosis Using Linear Stapler in Laparoscopic Distal Gastrectomy: Comparison between Gastroduodenostomy and Gastrojejunostomy
PURPOSE Intracorporeal anastomosis during laparoscopic gastrectomy is becoming increasingly prevalent. However, selection of the anastomosis method after laparoscopic distal gastrectomy is equivocal because of a lack of technical feasibility and safety. We compared intracorporeal gastroduodenostomy with gastrojejunostomy using linear staplers to evaluate the technical feasibility and safety of ...
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ژورنال
عنوان ژورنال: Endoscopy
سال: 2019
ISSN: 0013-726X,1438-8812
DOI: 10.1055/a-1063-6251