Experimental endoscopic repair of gastric perforations with an omental patch and clips

Experimental endoscopic repair of gastric perforations with an omental patch and clips

Background: The omental patch is a standard surgical treatment of gastroduodenal ulcer perforation. This is a report of an experimental method for endoscopic repair of anterior gastric perforations with an omental patch developed by using a porcine model. Methods: A standardized gastric perforation...

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Bibliographic Details
Published in:Gastrointestinal endoscopy Vol. 54; no. 4; pp. 500 - 504
Main Authors: Hashiba, Kiyoshi, Carvalho, Ademar Margonari, Diniz, Gerson, de Andrade, Nestor Barbosa, Guedes, Carlos Aristides F., Filho, Luis Siqueira, Lima, Cirilo Antonio P., Coehlo, Humberto Eustáquio, de Oliveira, Rodrigo A.
Format: Journal Article
Language:English
Published: New York, NY Mosby, Inc 01-10-2001
Elsevier
Subjects:
Animals
Biological and medical sciences
Endoscopy
Gastroscopy
Medical sciences
Omentum - surgery
Peptic Ulcer Perforation - surgery
Stomach - injuries
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Surgical Instruments
Swine
Tropical medicine
South America
Brazil
America
Endoscopic surgery
Stomach
Perforation
Omentum
Suturation
Experimental study
Pig
Clip
Plasty
Vertebrata
Mammalia
Treatment
Endoscopic approach
Animal
Digestive diseases
Artiodactyla
Ungulata
Gastric disease
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Summary:Background: The omental patch is a standard surgical treatment of gastroduodenal ulcer perforation. This is a report of an experimental method for endoscopic repair of anterior gastric perforations with an omental patch developed by using a porcine model. Methods: A standardized gastric perforation was created in 10 pigs. The omentum was pulled into the gastric lumen and fixed endoscopically to the muscularis propria layer of the stomach with metallic clips. Results: The postoperative course was normal in 9 animals. An ulcer was evident at the site of repair at follow-up endoscopy. At autopsy, the omentum was adherent to the external side of gastric wall. One animal died with peritonitis, presumably because the muscularis propria layer could not be seen during the procedure, and the clips attached the omentum only to the mucosa. Conclusions: Endoscopic repair with an omental patch appears to be an effective procedure for closure of gastric perforations.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0016-5107
1097-6779
DOI:10.1067/mge.2001.118444