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Endoscopy 2007; 39(11): 1013-1017
DOI: 10.1055/s-2007-966933
DDW Highlights

© Georg Thieme Verlag KG Stuttgart · New York

Natural orifice transluminal endoscopic surgery (NOTES)

R.  P.  Voermans1, 2 , M.  I.  Van Berge Henegouwen2 , P.  Fockens1
  • 1Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
  • 2Department of Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
Further Information

Publication History

Publication Date:
10 October 2007 (online)

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Introduction

In the past few years, gastrointestinal endoscopy has been enriched by a novel concept, natural orifice transluminal endoscopic surgery (NOTES). In this innovative endoscopic technique abdominal organs are approached through natural orifices (mouth, anus, vagina) in order to perform intra-abdominal diagnostic and therapeutic procedures. Unlike standard surgical procedures, NOTES avoids the need for abdominal incision, and also offers specific advantages in selected patient populations. Since the first presentation on NOTES at Digestive Disease Week (DDW) in 2000, research interest in NOTES has grown steadily ([Fig. 1]). This year, numerous abstracts focused on the potential problems that arise with NOTES in clinical practice, such as problems with access and closure, technical limitations of instruments (and innovative solutions to these), and complications and their management, while others focused on the potential advantages and the feasibility of novel NOTES interventions.

Fig. 1 The number of abstracts devoted to natural orifice transluminal endoscopic surgery (NOTES) at Digestive Disease Week since 2004.

References

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P. Fockens, MD, PhD

Department of Gastroenterology and Hepatology, C2 - 325

Academic Medical Center

Meibergdreef 9

1105 AZ Amsterdam

The Netherlands

Fax: +31-206917033

Email: P.Fockens@amc.nl

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