TY - JOUR
T1 - Endoscopic gastrointestinal anastomosis
T2 - a review of established techniques
AU - Marrache, Mohamad Kareem
AU - Itani, Mohamad I.
AU - Farha, Jad
AU - Fayad, Lea
AU - Sharara, Sima L.
AU - Kalloo, Anthony N.
AU - Khashab, Mouen A.
AU - Kumbhari, Vivek
N1 - Publisher Copyright:
© 2021 American Society for Gastrointestinal Endoscopy
PY - 2021/1
Y1 - 2021/1
N2 - Technologic advancements in the field of therapeutic endoscopy have led to the development of minimally invasive techniques to create GI anastomosis without requiring surgery. Examples of the potential clinical applications include bypassing malignant and benign gastric outlet obstruction, providing access to the pancreatobiliary tree in those who have undergone Roux-en-Y gastric bypass, and relieving pancreatobiliary symptoms in afferent loop syndrome. Endoscopic GI anastomosis is less invasive and less expensive than surgical approaches, result in improved outcomes, and therefore are more appealing to patients and providers. The aim of this review is to present the evolution of luminal endoscopic gastroenteric and enteroenteric anastomosis dating back to the first compression devices and to describe the clinical techniques being used today, such as magnets, natural orifice transluminal endoscopic surgery, and EUS-guided techniques. Through continued innovation, endoscopic interventions will rise to the forefront of the therapeutic arsenal available for patients requiring GI anastomosis.
AB - Technologic advancements in the field of therapeutic endoscopy have led to the development of minimally invasive techniques to create GI anastomosis without requiring surgery. Examples of the potential clinical applications include bypassing malignant and benign gastric outlet obstruction, providing access to the pancreatobiliary tree in those who have undergone Roux-en-Y gastric bypass, and relieving pancreatobiliary symptoms in afferent loop syndrome. Endoscopic GI anastomosis is less invasive and less expensive than surgical approaches, result in improved outcomes, and therefore are more appealing to patients and providers. The aim of this review is to present the evolution of luminal endoscopic gastroenteric and enteroenteric anastomosis dating back to the first compression devices and to describe the clinical techniques being used today, such as magnets, natural orifice transluminal endoscopic surgery, and EUS-guided techniques. Through continued innovation, endoscopic interventions will rise to the forefront of the therapeutic arsenal available for patients requiring GI anastomosis.
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U2 - 10.1016/j.gie.2020.06.057
DO - 10.1016/j.gie.2020.06.057
M3 - Review article
C2 - 32593687
AN - SCOPUS:85092460060
SN - 0016-5107
VL - 93
SP - 34
EP - 46
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 1
ER -