Abstract
Natural orifice translumenal endoscopic surgery (NOTES) is becoming more accepted by patients and clinicians alike as new data are published and new clinical trials surface. As these studies emerge we find that there are certain features of NOTES that are common to all types of natural orifice procedures. Among these are that they must include a method of exit from the lumen, procedures for carrying out the intended operation, including methods of obtaining access, retraction, and triangulation, and finally closure of the exit site once the surgery is done. This chapter reviews these fundamentals of NOTES, with emphasis on luminal exit and closure techniques, as these are the foundation of NOTES.
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Abbreviations
- EFTR:
-
Endoscopic full-thickness resection
- ESD:
-
Endoscopic submucosal dissection
- EUS:
-
Endoscopic ultrasound
- FNA:
-
Fine-needle aspiration
- GI:
-
Gastrointestinal
- NOTES:
-
Natural orifice translumenal endoscopic surgery
- OTSC:
-
Over-the-scope clip
- PEG:
-
Percutaneous endoscopic gastrostomy
- POEM:
-
Per-oral endoscopic myotomy
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Desilets, D.J. (2017). Fundamentals of NOTES. In: Romanelli, J., Desilets, D., Earle, D. (eds) NOTES and Endoluminal Surgery. Clinical Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-319-50610-4_2
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