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apollo overstitch

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https://www.readbyqxmd.com/read/29041019/endoscopic-sleeve-gastroplasty-using-apollo-overstitch-as-a-bridging-procedure-for-superobese-and-high-risk-patients
#1
Ricardo Zorron, Wilfried Veltzke-Schlieker, Andreas Adler, Christian Denecke, Tomasz Dziodzio, Johann Pratschke, Christian Benzing
No abstract text is available yet for this article.
October 17, 2017: Endoscopy
https://www.readbyqxmd.com/read/28664438/transoral-outlet-reduction-with-full-thickness-endoscopic-suturing-for-weight-regain-after-gastric-bypass-a-large-multicenter-international-experience-and-meta-analysis
#2
Eric J Vargas, Fateh Bazerbachi, Monika Rizk, Tarun Rustagi, Andres Acosta, Erik B Wilson, Todd Wilson, Manoel Galvao Neto, Natan Zundel, Manpreet S Mundi, Maria L Collazo-Clavell, Shah Meera, H S Abu-Lebdeh, Paul A Lorentz, Karen B Grothe, Matthew M Clark, Todd A Kellogg, Travis J McKenzie, Michael L Kendrick, Mark D Topazian, Christopher J Gostout, Barham K Abu Dayyeh
BACKGROUND AND AIMS: Many patients who undergo bariatric surgery will experience weight regain and effective strategies are needed to help these patients. A dilated gastrojejunal anastomosis (GJA) has been associated with weight recidivism after Roux-en-Y gastric bypass surgery (RYGB). Endoscopic transoral outlet reduction (TORe) with a full thickness endoscopic suturing device (Overstitch, Apollo Endosurgery, Austin, TX) is a minimally invasive therapeutic option. The primary aim of this project was to examine the safety and long-term efficacy data from three bariatric surgery centers and to conduct a systematic review and meta-analysis of the existing literature...
June 29, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28614887/successful-closure-of-anastomotic-dehiscence-after-colon-rectal-cancer-resection-using-the-apollo-overstitch-suturing-system
#3
Valerio Belfiori, Fillipo Antonini, Samuele Deminicis, Barbara Marraccini, Simona Piergallini, Walter Siquini, Giampiero Macarri
No abstract text is available yet for this article.
August 2017: Endoscopy
https://www.readbyqxmd.com/read/28492354/experimental-evaluation-of-the-optimal-suture-pattern-with-a-flexible-endoscopic-suturing-system
#4
Peter Halvax, Michele Diana, Yoshihiro Nagao, Jacques Marescaux, Lee Swanström
BACKGROUND: The ability to perform reliable, secure endoluminal closure of the gastrointestinal tract wall, is a prerequisite to support the progress of the emerging field of endoluminal surgery. Along with advanced clipping systems, flexible endoscopic suturing devices are commercially available. Current systems can replicate traditional surgical suturing patterns in the endoluminal environment. The aim of this study was to evaluate the optimal endoluminal suturing technique using a flexible endoscopic suturing device...
June 2017: Surgical Innovation
https://www.readbyqxmd.com/read/28451929/endoscopic-sleeve-gastroplasty-for-obesity-a-multicenter-study-of-248-patients-with-24%C3%A2-months-follow-up
#5
Gontrand Lopez-Nava, Reem Z Sharaiha, Eric J Vargas, Fateh Bazerbachi, Galvao Neto Manoel, Inmaculada Bautista-Castaño, Andres Acosta, Mark D Topazian, Manpreet S Mundi, Nikhil Kumta, Michel Kahaleh, Andrea Marie Herr, Alpana Shukla, Louis Aronne, Christopher J Gostout, Barham K Abu Dayyeh
BACKGROUND: Endoscopic sleeve gastroplasty (ESG) is a technique for managing mild to moderately obese patients. We aimed to evaluate the long-term outcomes, reproducibility, and predictors of weight response in a large multicenter cohort. METHODS: Patients who underwent ESG between January 2013 and December 2015 in three centers were retrospectively analyzed. All procedures were performed using the Apollo OverStitch device (Apollo Endosurgery, Austin, TX). We performed per protocol (PP) and intention-to-treat (ITT) analyses, where patients lost to follow-up were considered failures...
October 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28017845/endoscopic-sleeve-gastroplasty-significantly-reduces-body-mass-index-and-metabolic-complications-in-obese-patients
#6
Reem Z Sharaiha, Nikhil A Kumta, Monica Saumoy, Amit P Desai, Alex M Sarkisian, Andrea Benevenuto, Amy Tyberg, Rekha Kumar, Leon Igel, Elizabeth C Verna, Robert Schwartz, Christina Frissora, Alpana Shukla, Louis J Aronne, Michel Kahaleh
BACKGROUND & AIMS: Endoscopic sleeve gastroplasty (ESG) is an incisionless, minimally invasive bariatric procedure that reduces the length and width of the gastric cavity to facilitate weight loss. We performed a prospective study to evaluate the effects of ESG on total body weight loss and obesity-related comorbidities. METHODS: We collected data from 91 consecutive patients (mean age, 43.86 ± 11.26 years; 68% female) undergoing ESG from August 2013 through March 2016...
April 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27807582/novel-treatment-of-malignant-gastric-outlet-obstruction-with-a-stent-within-stent-approach-secured-with-apollo-overstitch%C3%A2
#7
Shawn Kaye, Katherine J Kim, Neha Chaurasia, Kenneth Chang, Jason Samarasena
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27683786/endoscopic-sleeve-gastroplasty-minimally-invasive-therapy-for-primary-obesity-treatment
#8
Manoel Dos Passos Galvão-Neto, Eduardo Grecco, Thiago Ferreira de Souza, Luiz Gustavo de Quadros, Lyz Bezerra Silva, Josemberg Marins Campos
Background: Less invasive and complex procedures have been developed to treat obesity. The successful use of Endoscopic Sleeve Gastroplasty using OverStitch(r) (Apollo Endosurgery, Austin, Texas, USA) has been reported in the literature. Aim: Present technical details of the procedure and its surgical/ endoscopic preliminary outcome. Method: The device was used to perform plications along the greater curvature of the stomach, creating a tubulization similar to a sleeve gastrectomy...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27576180/endoscopic-anti-reflux-valve-for-post-esophagectomy-reflux-an-animal-study
#9
Yoshitomo Yanagimoto, Makoto Yamasaki, Hirotsugu Nagase, Takashi Kanemura, Shigeyoshi Higashi, Yasuhiro Miyazaki, Tomoki Makino, Tsuyoshi Takahashi, Yukinori Kurokawa, Hiroshi Miyata, Shuji Takiguchi, Masaki Mori, Yuichiro Doki, Kiyokazu Nakajima
Background and study aims: Gastric reflux into the remnant esophagus after subtotal or partial esophagectomy is associated with impairment in patient quality of life. We evaluated the feasibility, safety, and potential effectiveness of a novel procedure using a new endoscopic suturing device to create an anti-reflux valve (funnel) in pigs after esophagectomy with gastric tube reconstruction. Methods: The endoscopic procedure was performed in four pigs using a semi-full-thickness endoscopic suturing system (OverStitch; Apollo Endosurgery, Austin, Texas, USA)...
December 2016: Endoscopy
https://www.readbyqxmd.com/read/27318467/endoluminal-revision-overstitch-tm-apollo-endosurgery-of-the-dilated-gastroenterostomy-in-patients-with-late-dumping-syndrome-after-proximal-roux-en-y-gastric-bypass
#10
Christine Stier, Sonja Chiappetta
Dumping syndrome is a long-term postoperative complication of Roux-en-Y gastric bypass procedures. Morphologically, dumping syndrome usually correlates with a dilatation of the gastroenterostomy with accelerated pouch emptying. Conservative therapy includes diet changes, complementary pharmacotherapy and, if symptoms persist, surgical revision. Surgical options include endoscopic, endoluminal surgery to constrict the gastrojejunostomy using a novel endoscopic suturing device (OverStitch(TM), Apollo). In our study, we aimed to assess the viability, safety and efficacy of this procedure in patients with late dumping; 14 patients who had developed late dumping syndrome underwent surgery using an endoscopic suturing technique (OverStitch(TM), Apollo)...
August 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26494866/recent-advances-in-natural-orifice-transluminal-endoscopic-surgery%C3%A2
#11
REVIEW
Hon-chi Yip, Philip Wai-yan Chiu
Natural orifice transluminal endoscopic surgery (NOTES) has emerged as one of the most exciting areas in the field of minimally invasive surgery during the last decade. NOTES comprises a wide spectrum of procedures from various natural accesses such as transgastric or transvaginal routes, and different direct-target or distant-target organs. Since polypectomy was first performed in 1955, major advances in technology and refinement of endoscopic technique have allowed endoscopic surgeons to perform complex endoscopic interventions such as endoscopic submucosal dissection...
January 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/26240686/endoscopic-therapy-for-weight-loss-gastroplasty-duodenal-sleeves-intragastric-balloons-and-aspiration
#12
REVIEW
Nitin Kumar
A new paradigm in the treatment of obesity and metabolic disease is developing. The global obesity epidemic continues to expand despite the availability of diet and lifestyle counseling, pharmacologic therapy, and weight loss surgery. Endoscopic procedures have the potential to bridge the gap between medical therapy and surgery. Current primary endoscopic bariatric therapies can be classified as restrictive, bypass, space-occupying, or aspiration therapy. Restrictive procedures include the USGI Primary Obesity Surgery Endolumenal procedure, endoscopic sleeve gastroplasty using Apollo OverStitch, TransOral GAstroplasty, gastric volume reduction using the ACE stapler, and insertion of the TERIS restrictive device...
July 25, 2015: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/26191342/current-applications-of-endoscopic-suturing
#13
REVIEW
Stavros N Stavropoulos, Rani Modayil, David Friedel
Endoscopic suturing had previously been considered an experimental procedure only performed in a few centers and often by surgeons. Now, however, endoscopic suturing has evolved sufficiently to be easily implemented during procedures and is more commonly used by gastroenterologists. We have employed the Apollo OverStitch suturing device in a variety of ways including closure of perforations, closure of full thickness defects in the gastrointestinal wall created during endoscopic full thickness resection, closure of mucosotomies during peroral endoscopic myotomy, stent fixation, fistula closure, post endoscopic submucosal dissection, endoscopic mucosal resection and Natural Orifice Transluminal Endoscopic Surgery defect closures, post-bariatric surgery gastrojejunal anastomosis revision and primary sleeve gastroplasty...
July 10, 2015: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/25984980/a-large-multicenter-experience-with-endoscopic-suturing-for-management-of-gastrointestinal-defects-and-stent-anchorage-in-122-patients-a-retrospective-review
#14
MULTICENTER STUDY
Reem Z Sharaiha, Nikhil A Kumta, Ersilia M DeFilippis, Christopher J Dimaio, Susana Gonzalez, Tamas Gonda, Jason Rogart, Ali Siddiqui, Paul S Berg, Paul Samuels, Larry Miller, Mouen A Khashab, Payal Saxena, Monica R Gaidhane, Amy Tyberg, Julio Teixeira, Jessica Widmer, Prashant Kedia, David Loren, Michel Kahaleh, Amrita Sethi
GOALS: To describe a multicenter experience using an endoscopic suturing device for management of gastrointestinal (GI) defects and stent anchorage. BACKGROUND: Endoscopic closure of GI defects including perforations, fistulas, and anastomotic leaks as well as stent anchorage has improved with technological advances. An endoscopic suturing device (OverStitch; Apollo Endosurgery Inc.) has been used. STUDY: Retrospective study of consecutive patients who underwent endoscopic suturing for management of GI defects and/or stent anchorage were enrolled between March 2012 and January 2014 at multiple academic medical centers...
May 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/25631115/endoluminal-full-thickness-suture-repair-of-gastrotomy-a-survival-study
#15
Peter Halvax, Michele Diana, Andras Lègner, Véronique Lindner, Yu-Yin Liu, Yoshihiro Nagao, Sungwoo Cho, Jacques Marescaux, Lee L Swanström
BACKGROUND: Treatment of perforations and complications related to gastrointestinal (GI) surgery and interventional flexible endoscopy is increasingly performed endoscopically. New devices enabling secure full-thickness GI tract closures through flexible endoscopic platforms have been recently developed. AIM: To assess feasibility of endoscopic closure of a large gastrotomy using a tip-mounted flexible endoscopic suturing device. METHODS: Six pigs were involved in this study...
November 2015: Surgical Endoscopy
https://www.readbyqxmd.com/read/25480602/six-month-outcomes-in-patients-experiencing-weight-gain-after-gastric-bypass-who-underwent-gastrojejunal-revision-using-an-endoluminal-suturing-device
#16
M Gitelis, M Ujiki, L Farwell, J Linn, C Wang, K Miller, C Sula, J Carbray, S Haggerty, W Denham
BACKGROUND: Weight gain after Roux-en-Y gastric bypass occurs in approximately 25 % of cases, and this may contribute to recurrence of comorbid conditions. Currently, adequate treatment strategies for this group of patients are limited. Endoscopic narrowing of the gastrojejunal anastomosis may result in a low-risk, minimally invasive treatment alternative compared to standard surgical revision. We assessed short-term outcomes in patients undergoing endoscopic gastrojejunal revisions (EGJR) using an endoluminal suturing device...
August 2015: Surgical Endoscopy
https://www.readbyqxmd.com/read/25361453/endoscopic-management-of-common-patologies-with-a-new-suturing-system
#17
Fernando González-Panizo-Tamargo, Álvaro Rojas-Sánchez, Pablo Miranda-García, Diego Juzgado-Lucas, Enrique Vázquez-Sequeiros
BACKGROUND: Overstitch endoscopic suturing system (Apollo Endosurgery. Austin, Texas) was created for NOTES procedures.As it demonstrated to be feasible, secure and effective in this field, further studies have evaluated its use in common gastrointestinal disorders in which current therapeutic tools, endoscopic or not, are not efficient or safe enough. Published results are promising. We present our initial experience with this system in the management of pathologies we usually face in our clinical practice...
June 2014: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/23990156/feasibility-of-full-thickness-gastric-resection-using-master-and-slave-transluminal-endoscopic-robot-and-closure-by-overstitch-a-preclinical-study
#18
Philip W Y Chiu, S J Phee, Z Wang, Z Sun, Carmen C Poon, T Yamamoto, I Penny, Jennie Y Y Wong, James Y W Lau, K Y Ho
BACKGROUND: Gastric submucosal tumors are often treated by laparoscopic wedge resection. This study aimed to examine the feasibility of gastric full-thickness resection through a totally endoscopic approach using the master and slave transluminal endoscopic robot (MASTER), and closure of the luminal defect with an endoscopic suturing device. METHODS: The operation was performed in two live porcine models under general anesthesia. First, the anterior wall of the stomach was slung to the abdominal wall using a percutaneous suturing device...
January 2014: Surgical Endoscopy
https://www.readbyqxmd.com/read/23708719/endoscopic-suture-repair-of-full-thickness-esophagotomy-during-per-oral-esophageal-myotomy-for-achalasia
#19
Ashwin A Kurian, Neil H Bhayani, Kevin Reavis, Christy Dunst, Lee Swanström
BACKGROUND: Per-oral endoscopic myotomy (POEM) requires advanced flexible endoscopic skills, especially in the management of complications. METHODS: We present a full-thickness esophagotomy while performing POEM and repair using an endoscopic suturing device. STANDARD OPERATIVE TECHNIQUE: An anterior esophageal 2 cm mucosectomy is created 7-10 cm proximal to the gastroesophageal junction after a submucosal wheal is raised. A submucosal tunnel is created and extended to 2 cm on the gastric cardia...
October 2013: Surgical Endoscopy
https://www.readbyqxmd.com/read/23445712/safety-and-effectiveness-of-an-endoscopic-suturing-device-in-a-human-colonic-treat-and-resect-model
#20
Eric M Pauli, Conor P Delaney, Bradley Champagne, Sharon Stein, Jeffrey M Marks
BACKGROUND: Despite advances in many areas of therapeutic endoscopy, the development of an effective endoscopic suturing device has been elusive. The purpose of this trial was to evaluate the safety and effectiveness of a suturing device to place and secure sutures within normal, in vivo human colonic tissue prior to surgical resection. METHODS: Patients undergoing elective colectomy were enrolled in this treat-and-resect model. The Overstitch endoscopic suturing device (Apollo Endosurgery, Austin, TX) was used to place sutures in healthy colonic tissue during a 15-minute, time-limited period...
December 2013: Surgical Innovation
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