A Study of the Possibility of the Use of Translumenal Endoscopic Omental Patch for Closure of Perforated Viscus

Overview

About this study

The purpose of this study is to see if a new endoscopic approach to the repair of perforated ulcers in the stomach or the first part of the intestine is possible. Traditionally, either open operations (large single incision) or laparoscopic operations (multiple small camera-guided incisions) have been used to repair perforated ulcers.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria

Clinical diagnosis of a perforated viscus scheduled to undergo surgical intervention
Surgical candidate for endoscopic, laparoscopic, or open procedure
Age > 21
Signed informed written consent

Exclusion Criteria

Prior gastric or duodenal surgery
Prior total abdominal colectomy or transverse colectomy
Prior omentectomy or omental flaps
Known perforation site other than stomach or duodenum
Contra-indications for laparoscopy
Contraindications for endoscopy
Upper gastrointestinal anatomy that would preclude endoscopic therapy
Coagulopathy or thrombocytopenia
Pregnant
Age < 21 years
Prisoners
If found at surgery to have disease processes other than perforated peptic ulcer disease, will be asked for permission to record data for comparison

More information

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