Laying the foundation for NOTES: another brick in the wall.

摘要

Few topics in GI therapy in the past decade have engendered as much excitement and controversy as natural orifice transluminal endoscopic surgery (NOTES). This term was coined in 2005 by leaders from the American Society for Gastrointestinal Endoscopy (ASGE) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), who realized that the potential existed to expand the capabilities of therapeutic endoscopy to perform intraperitoneal surgery. The group was acutely aware of the damage that had occurred during the introduction of laparoscopic cholecystectomy and sought to get ahead of the curve for NOTES. This group, the SAGES/ASGE Joint Committee, attempted to prospectively manage the introduction of what was viewed at the time as a potentially disruptive technology. A white paper was written that outlined the fundamental challenges that needed to be addressed before NOTES would be ready for prime time1 and also insisted that human studies be done under appropriate institutional review board supervision.