Diagnostic pure transgastric NOTES in an intensive therapy unit patient

Natural orifice transluminal endoscopic surgery (NOTES) is a natural consequence of evolution in minimally invasivesurgery. It allows one to reduce surgical trauma and the number of complications and to improve cosmetic outcomes.It also shortens the patient’s recovery time. So far there have been on...

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Main Authors: Maciej Michalik, Maciej Bobowicz, Anna Trybull, Mieczysław Witzling
Format: Article
Language:English
Published: Medycyna Praktyczna 2011-06-01
Series:Videosurgery and Other Miniinvasive Techniques
Subjects:
Online Access:http://www.termedia.pl/Case-report-Diagnostic-pure-transgastric-NOTES-in-an-intensive-therapy-unit-patient,42,16937,1,0.html
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author Maciej Michalik
Maciej Bobowicz
Anna Trybull
Mieczysław Witzling
author_facet Maciej Michalik
Maciej Bobowicz
Anna Trybull
Mieczysław Witzling
author_sort Maciej Michalik
collection DOAJ
description Natural orifice transluminal endoscopic surgery (NOTES) is a natural consequence of evolution in minimally invasivesurgery. It allows one to reduce surgical trauma and the number of complications and to improve cosmetic outcomes.It also shortens the patient’s recovery time. So far there have been only nine NOTES procedures performed in Polandand around 200 NOTES interventions performed worldwide. In this paper a transgastric diagnostic NOTES procedurein a critically ill patient is described. A 60-year-old male patient with multi-organ failure (circulatory, respiratory andrenal insufficiency, with co-morbid hypothyroidism and diabetes mellitus) hospitalized in the intensive therapy unit(ITU) with unknown cause of his condition was qualified for transgastric diagnostic NOTES procedure. This interventionrevealed the diagnosis of metastatic neoplastic disease and allowed persistent therapy to be avoided. DiagnosticNOTES in selected patients seems to be a very useful. It provides fast diagnosis with relatively small perioperativetrauma. It is an easy procedure that requires a regular or operative endoscope, one surgeon and an endoscopic nurse.It can be done anywhere, including at the patient’s bedside. It provides specimens for histopathology and speeds updiagnostics and decision making, especially in terminally ill patients.
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publisher Medycyna Praktyczna
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series Videosurgery and Other Miniinvasive Techniques
spelling doaj-art-103afa440bd4439a84e4349f4fc6e5642025-08-20T02:02:19ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882011-06-0162108110Diagnostic pure transgastric NOTES in an intensive therapy unit patientMaciej MichalikMaciej BobowiczAnna TrybullMieczysław WitzlingNatural orifice transluminal endoscopic surgery (NOTES) is a natural consequence of evolution in minimally invasivesurgery. It allows one to reduce surgical trauma and the number of complications and to improve cosmetic outcomes.It also shortens the patient’s recovery time. So far there have been only nine NOTES procedures performed in Polandand around 200 NOTES interventions performed worldwide. In this paper a transgastric diagnostic NOTES procedurein a critically ill patient is described. A 60-year-old male patient with multi-organ failure (circulatory, respiratory andrenal insufficiency, with co-morbid hypothyroidism and diabetes mellitus) hospitalized in the intensive therapy unit(ITU) with unknown cause of his condition was qualified for transgastric diagnostic NOTES procedure. This interventionrevealed the diagnosis of metastatic neoplastic disease and allowed persistent therapy to be avoided. DiagnosticNOTES in selected patients seems to be a very useful. It provides fast diagnosis with relatively small perioperativetrauma. It is an easy procedure that requires a regular or operative endoscope, one surgeon and an endoscopic nurse.It can be done anywhere, including at the patient’s bedside. It provides specimens for histopathology and speeds updiagnostics and decision making, especially in terminally ill patients.http://www.termedia.pl/Case-report-Diagnostic-pure-transgastric-NOTES-in-an-intensive-therapy-unit-patient,42,16937,1,0.htmlnatural orifice transluminal endoscopic surgery (NOTES)diagnostic NOTEStransgastric NOTESpure NOTESscar-free surgeryminimally invasive surgery
spellingShingle Maciej Michalik
Maciej Bobowicz
Anna Trybull
Mieczysław Witzling
Diagnostic pure transgastric NOTES in an intensive therapy unit patient
Videosurgery and Other Miniinvasive Techniques
natural orifice transluminal endoscopic surgery (NOTES)
diagnostic NOTES
transgastric NOTES
pure NOTES
scar-free surgery
minimally invasive surgery
title Diagnostic pure transgastric NOTES in an intensive therapy unit patient
title_full Diagnostic pure transgastric NOTES in an intensive therapy unit patient
title_fullStr Diagnostic pure transgastric NOTES in an intensive therapy unit patient
title_full_unstemmed Diagnostic pure transgastric NOTES in an intensive therapy unit patient
title_short Diagnostic pure transgastric NOTES in an intensive therapy unit patient
title_sort diagnostic pure transgastric notes in an intensive therapy unit patient
topic natural orifice transluminal endoscopic surgery (NOTES)
diagnostic NOTES
transgastric NOTES
pure NOTES
scar-free surgery
minimally invasive surgery
url http://www.termedia.pl/Case-report-Diagnostic-pure-transgastric-NOTES-in-an-intensive-therapy-unit-patient,42,16937,1,0.html
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AT mieczysławwitzling diagnosticpuretransgastricnotesinanintensivetherapyunitpatient