{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T01:44:01Z","timestamp":1766627041953,"version":"3.43.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We report the first pediatric use of a laparoscopic-assisted endoscopic overstitch technique for managing an acutely perforated gastric ulcer in a 16-year-old female. The patient presented with symptoms consistent with gastrointestinal perforation, confirmed by radiologic pneumoperitoneum. Diagnostic laparoscopy identified inflammatory adhesions and a gastric ulcer perforation. Concurrent endoscopy precisely located the defect, which was effectively closed using an endoscopic overstitch device mounted on a therapeutic double-channel gastroscope. Closure involved three full-thickness inverted figure-of-eight sutures, verified by an intraoperative leak test and reinforced with an omental patch. Postoperative recovery was rapid and uncomplicated, progressing to a regular diet within 3 days. This innovative hybrid laparoscopic-endoscopic technique demonstrates efficacy, safety, and the benefits of minimally invasive surgery for pediatric gastrointestinal perforations, emphasizing its potential superiority over traditional methods.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf584","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T18:06:32Z","timestamp":1755021992000},"source":"Crossref","is-referenced-by-count":1,"title":["A novel combined laparoscopic-endoscopic overstitch technique for pediatric gastric ulcer perforation: an innovative approach to repair of hollow viscus perforations"],"prefix":"10.1093","volume":"2025","author":[{"given":"Andrew","family":"Huang-Pacheco","sequence":"first","affiliation":[{"name":"Division of Gastroenterology, Department of Pediatrics, University of Nebraska Medical Center and College of Medicine , Omaha, NE ,","place":["United States"]},{"name":"Division of Pediatric Surgery, Department of Surgery, University of Nebraska Medical Center and College of Medicine , Omaha, NE ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Thomas","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, University of Nebraska Medical Center and College of Medicine , Omaha, NE ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdalla","family":"Zarroug","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, University of Nebraska Medical Center and College of Medicine , Omaha, NE ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adil A","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, University of Nebraska Medical Center and College of Medicine , Omaha, NE ,","place":["United 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