Thursday, June 4, 2009
Digestive Disease Week: NOTES
CHICAGO--Removing a gallbladder through the mouth? That's how natural orifice translumenal endoscopic surgery (NOTES), a new surgical procedure that even its backers call "a bit unorthodox," would work. In the experimental procedure, the doctor inserts a tube down the esophagus, makes a small incision in the stomach or digestive tract to access the abdominal cavity and takes the organ out.
The idea is that the procedure would be easier on patients because it is less invasive and would thus reduce recovery time, be less uncomfortable, and leave virtually no visible scarring. It could also be used for gastric bypass, fallopian tubal ligation, and ovary removal. Some operations might be done via the rectum or vagina. (See more on this subject in ACP Hospitalist.)
This initiative, discussed at DDW yesterday, is from the Natural Orifice Surgery Consortium for Assessment and Research, a joint effort supported by the American Society for Gastrointestinal Endoscopy and the Society of American Gastrointestinal and Endoscopic Surgeons.
--By Paula S. Katz, special to ACP Hospitalist
Labels: digestive disease week, NOTES
posted by Janet Colwell at
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