Esophago-Cardial-Gastric Tunneling Peritoneoscopy: In Vivo Dog Survival Study.
Background: Diagnostic peritoneoscopy is typically performed by using a rigid laparoscope. Inspired by gastric submucosal tunneling for peritoneal natural orifice transluminal endoscopic surgery access and peroral endoscopic myotomy for the treatment of achalasia, we developed a novel esophago-cardi...
| Published in: | Journal of Laparoendoscopic & Advanced Surgical Techniques Vol. 25; no. 11; pp. 920 - 926 |
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| Main Authors: | , , , , , |
| Format: | diagnostic images pictorial research tables/charts Journal Article |
| Published: |
Mary Ann Liebert, Inc.
Nov2015
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111002987&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 111002987 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10926429 4C5 jtl: Journal of Laparoendoscopic & Advanced Surgical Techniques issn: 10926429 maglogo: N pubinfo: dt: Nov2015 vid: 25 iid: 11 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 111002987 111002987 NLM26402572 111002987 10.1089/lap.2015.0275 NLM26402572 111002987 ppf: 920 ppct: 6 formats: tig: atl: Esophago-Cardial-Gastric Tunneling Peritoneoscopy: In Vivo Dog Survival Study. aug: au: Liu, Bing-Rong Song, Ji-Tao Kong, Ling-Jian Ma, Xiao Liu, Jing-Yang Cui, Guang-Xing sug: subj: Endoscopy Methods Esophagus Surgery Endoscopes Esophageal Achalasia Surgery Stomach Surgery Laparoscopy Methods Equipment Design Laparoscopy Mortality Female Mouth Male Dogs Models, Biological Animal Studies Intestinal Mucosa Surgery Human Female Male ab: Background: Diagnostic peritoneoscopy is typically performed by using a rigid laparoscope. Inspired by gastric submucosal tunneling for peritoneal natural orifice transluminal endoscopic surgery access and peroral endoscopic myotomy for the treatment of achalasia, we developed a novel esophago-cardial-gastric tunneling (ECGT) peritoneoscopy technique with a flexible endoscope. This study aims to evaluate its feasibility and safety.Materials and Methods: The study comprised 10 Beagle dogs. A longitudinal mucosal incision was made on the esophageal wall, and a submucosal tunnel was created through the cardia into the stomach. An incision was made in the muscular layer of the stomach, and then the endoscope was advanced into the peritoneal cavity. Peritoneoscopy with the flexible endoscope was performed. After intraperitoneal exploration, the esophageal mucosal entry was closed with endoclips. All dogs resumed food intake 12 hours after the procedures. Diets, behavior, and body temperature of all of the dogs were observed. Endoscopic examinations were performed 4 weeks after the procedure, and then the animals were sacrificed for necropsy.Results: The ECGT peritoneoscopy was successfully done in all dogs. Diets, behavior, and body temperature were normal in all dogs. The entry of the esophagus was healed well in 9 dogs; the mucosa of the entry was torn in 1 dog, but the submucosal tunnel was healed well at the cardia. Necropsy showed complete closure of the gastric serosal exit, and no intraperitoneal abscess was found. Histopathological examinations showed submucosal tunnels healed well.Conclusions: The ECGT peritoneoscopy is feasible and safe for peritoneal exploration. It should be a good choice for the clinical application of diagnostic peritoneoscopy. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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