First human NOTES experience for sleeve gastrectomy at UCSD

Sleeve gastrectomy, in which part of the stomach is removed, can be safe and effective when performed either transorally or transvaginally, according to researchers at the University of California, San Diego (UCSD) who are pioneering the surgery in the U.S.

Natural orifice translumenal ® (NOTES) eliminates the need for a large incision for organ removal, which could increase risks for infection, incisional hernia and other problems. In their review of 14 morbidly obese patients who had undergone NOTES as part of a gastrectomy, the researchers found no complications. Hospital stays averaged two days.

"In experienced hands, this is a viable option for the popular laparoscopic sleeve gastrectomy," said Garth Jacobsen, MD, director of clinical operations at the UCSD center for the future of surgery.

Noted Sheetal Nijhawan, MD, of the UCSD department of surgery, "The procedure is further evidence that it is possible to safely remove sizable organs from the abdominal cavity in both men and women without leaving large scars on the abdominal wall."

Patients involved in the multi-year study included 12 women and two men whose pre-operative body mass index was 46.1. Nearly three-quarters had high blood pressure and 42 percent had diabetes, osteoarthritis or high cholesterol.

Researchers are now moving toward a purely NOTES protocol for morbid obesity, with the knowledge gleaned from their surgical experience applicable to other operations, Dr. Nijhawan said.

More information: Dr. Nijhawan will present these data on Monday, May 9 at 1:00 p.m. CT in Arie Crown Theater, McCormick Place.

Provided by Digestive Disease Week

not rated yet
add to favorites email to friend print save as pdf

Related Stories

First US surgery to compare NOTES vs. laparoscopy

Jul 07, 2010

As part of the only U.S. prospective multicenter clinical trial to compare natural orifice translumenal endoscopic surgery (NOTES) to laparoscopy, surgeons at the University of California, San Diego School of Medicine have ...

Surgery without external scars is gaining traction

Mar 10, 2011

When Patricia Manrique was told she needed her gallbladder removed she immediately thought about the classroom full of children who rely on her to teach them tap and ballet each day. The Chicago Park District physical instructor ...

Gallbladder removed without external incisions

Jul 28, 2008

In April of last year, surgeons at NewYork-Presbyterian Hospital/Columbia University Medical Center made headlines by removing a women's gallbladder through her uterus using a flexible endoscope, aided by several external ...

Recommended for you

Cold cash just keeps washing in from ALS challenge

Aug 28, 2014

In the couple of hours it took an official from the ALS Association to return a reporter's call for comment, the group's ubiquitous "ice bucket challenge" had brought in a few million more dollars.

Medtronic spends $350M on another European deal

Aug 27, 2014

U.S. medical device maker Medtronic is building stronger ties to Europe, a couple months after announcing a $42.9 billion acquisition that involves moving its main executive offices across the Atlantic, where it can get a ...

Mind over matter for people with disabilities

Aug 26, 2014

People with serious physical disabilities are unable to do the everyday things that most of us take for granted despite having the will – and the brainpower – to do so. This is changing thanks to European ...

User comments