{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T23:18:15Z","timestamp":1789946295436,"version":"4.0.1"},"reference-count":11,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,12,19]],"date-time":"2017-12-19T00:00:00Z","timestamp":1513641600000},"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":["Surg Innov"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>Background. Surgical gastrojejunal anastomosis (GJJ) is considered the standard palliative option for gastric outlet obstruction. The use of endoscopic GJJ has generated a lot of attention and has enlarged the horizon for patients with open surgery contraindications. Our study aimed to assess and compare 2 purely endoscopic GJJ approaches using a lumen-apposing hot tip double-flanged metal stent, with focus on technical and clinical success rates on experimental animals. Methods. Two endoscopic GJJ techniques using a double-flanged self-expandable metal stent were compared on 8 pigs. Natural orifice transluminal endoscopic surgery (NOTES) was used on 4 pigs, while the other group was subjected to an endoscopic ultrasound (EUS) balloon-guided approach. Results. On a 21-day follow-up, both EUS and NOTES-GJJ were technically successful in all experimental animals, and necropsy confirmed full integrity of the anastomosis. Adhesions were confirmed only on 2 pigs after NOTES procedure. The mean time for GJJ-NOTES completion was 31.375 \u00b1 2.03, whereas EUS-GJJ was completed with a median time of 20.275 \u00b1 0.65. The stent distance from the stomach varied; in NOTES-GJJ it was 47.8 \u00b1 11.13 cm away from the pylorus, whereas in EUS-GJJ was at 37 \u00b1 1.85 cm. Conclusion. No major complications were encountered during both procedures. EUS-GJJ balloon-guided approach might be a more attractive technique by using sonographic guidance, because of less endoscopic instrument changing as well as in achieving the desired anastomotic distance.<\/jats:p>","DOI":"10.1177\/1553350617748278","type":"journal-article","created":{"date-parts":[[2017,12,23]],"date-time":"2017-12-23T12:41:26Z","timestamp":1514032886000},"page":"16-21","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Comparative Study of NOTES Versus Endoscopic Ultrasound Gastrojejunostomy in Pigs: A Prospective Study"],"prefix":"10.1177","volume":"25","author":[{"given":"Bogdan Silviu","family":"Ungureanu","sequence":"first","affiliation":[{"name":"Research Center of Gastroenterology and Hepatology of Craiova, Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0218tefan","family":"P\u0103tra\u0219cu","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy of Craiova, Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Dr\u0103goescu","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy of Craiova, Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Nicolau","sequence":"additional","affiliation":[{"name":"\u201cLotus Life\u201d Gastroenterology Private Hospital, Targu Mures, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u0103t\u0103lin","family":"Cop\u0103escu","sequence":"additional","affiliation":[{"name":"Ponderas Private Hospital, Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeriu","family":"\u0218urlin","sequence":"additional","affiliation":[{"name":"University of Medicine and Pharmacy of Craiova, Craiova, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"S\u0103ftoiu","sequence":"additional","affiliation":[{"name":"Research Center of Gastroenterology and Hepatology of Craiova, Craiova, Romania"},{"name":"Copenhagen University Herlev Hospital, Herlev, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,12,19]]},"reference":[{"key":"bibr1-1553350617748278","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i22.3447"},{"key":"bibr2-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1377347"},{"key":"bibr3-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2015.06.017"},{"key":"bibr4-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-101789"},{"key":"bibr5-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-814434"},{"key":"bibr6-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2712-7"},{"key":"bibr7-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-5311-1."},{"key":"bibr8-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1097\/MJT.0000000000000558."},{"key":"bibr9-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2011.01.017"},{"key":"bibr10-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1256383"},{"key":"bibr11-1553350617748278","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.148"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1553350617748278","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1553350617748278","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1553350617748278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:20:13Z","timestamp":1777706413000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1553350617748278"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,19]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1177\/1553350617748278"],"URL":"https:\/\/doi.org\/10.1177\/1553350617748278","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,19]]}}}