{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T16:54:47Z","timestamp":1791046487266,"version":"4.1.0"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intestinal biopsies are essential for the diagnosis and treatment of Hirschsprung\u2019s disease and visceral myopathies. However, intraoperative sampling may be inconclusive, leading to diagnostic errors and unnecessary extensive resections. Current laparoscopic approaches remain technically demanding. The aim of this study is to present an unpublished, safe, and effective technique, Sequential Track and Intestinal Gathering (STRING), to perform multiple laparoscopic intestinal biopsies and ensure diagnostic accuracy in pediatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective observational descriptive study. All patients underwent a new minimally invasive intestinal biopsy technique for suspected visceral myopathy or Hirschsprung\u2019s disease. Age, sex, operative time, complications, number of biopsies, and final diagnosis were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirteen patients were biopsied (10 male, 3 female) with a median age of 9 months (IQR: 5\u20137) and median weight of 7 kg (IQR: 6\u20138.4). Total operative time was 57 minutes (IQR: 35\u201375). Oral tolerance was restored at 28 hours postoperative (IQR: 12\u201324), and hospitalization time was 47 hours (IQR: 24\u201354). 3.8 biopsies per patient were done; all samples were conclusive, nine Hirschsprung\u2019s disease, three visceral myopathy, and one ganglionar. No complications were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The STRING technique appears to be safe, effective, and reproducible. It allows multiple intestinal biopsies through a single minimally invasive approach with conclusive results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261495175","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:02:56Z","timestamp":1790820176000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sequential Track and Intestinal Gathering (\u201cSTRING\u201d): A Novel Technique for Multiple Intestinal Biopsies"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5084-2233","authenticated-orcid":false,"given":"In\u00e9s","family":"Lariguet","sequence":"first","affiliation":[{"name":"Fundaci\u00f3n Hospitalaria Mother and Child Medical Center, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"Buela","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Hospitalaria Mother and Child Medical Center, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana","family":"Prodan","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Hospitalaria Mother and Child Medical Center, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Udaquiola","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Hospitalaria Mother and Child Medical Center, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Calello","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Hospitalaria Mother and Child Medical Center, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Mill\u00e1n","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Hospitalaria Mother and Child Medical Center, Buenos Aires, Argentina."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-56282-6"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2010.03.004"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2013.18"},{"issue":"1","key":"e_1_3_3_5_1","first-page":"54","article-title":"Laparoscopic full-thickness intestinal biopsies in children","volume":"33","author":"Mazziotti MV","year":"2001","unstructured":"4.Mazziotti MV, , Langer JC. Laparoscopic full-thickness intestinal biopsies in children. J Pediatr Gastroenterol Nutr 2001;33(1):54\u201357.","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"2","key":"e_1_3_3_6_1","first-page":"218","article-title":"Assessment of patients with Hirschsprung\u2019 disease and use of laparoscopy","volume":"54","author":"Demir M","year":"2020","unstructured":"5.Demir M, , Akin M, , Kaba M, et al. Assessment of patients with Hirschsprung\u2019 disease and use of laparoscopy. Sisli Etfal Hastan Tip Bul 2020;54(2):218\u2013221; doi: 10.14744\/SEMB.2018.84565","journal-title":"Sisli Etfal Hastan Tip Bul"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2012.07.011"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2004.10.025"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2004.10.013"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003830000577"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261495175","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429261495175","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261495175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T16:19:50Z","timestamp":1791044390000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429261495175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":9,"alternative-id":["10.1177\/10926429261495175"],"URL":"https:\/\/doi.org\/10.1177\/10926429261495175","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"article-number":"10926429261495175"}}