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Supported by A Grant from the Instituto de Salud Carlos III (PI08/90026)

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Article

Gastrotomy closure with a new tissue anchoring device: A porcine survival study

Publicated to:World Journal Of Gastroenterology. 17 (13): 1732-1738 - 2011-01-01 17(13), DOI: 10.3748/wjg.v17.i13.1732

Authors: Guarner-Argente, Carlos; Cordova, Henry; Martinez-Palli, Graciela; Navarro-Ripoll, Ricard; Rodriguez-d'Jesus, Antonio; Rodriguez de Miguel, Cristina; Beltran, Mireia; Fernandez-Esparrach, Gloria;

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Abstract

To evaluate the feasibility, reproducibility and efficacy of a new tissue anchoring device in a porcine survival model.Gastrotomies were performed using a needle-knife and balloon dilator in 10 female Yorkshire pigs weighing 30-35 kg. Gastric closure was attempted using a new tissue anchoring device. The tightness of the closure was confirmed by means of air insufflation and the ability to maintain gastric distension with stability in peritoneal pressure measured with a Veress needle. All animals were monitored daily for signs of peritonitis and sepsis over 14 d. During necropsy, the peritoneal cavity and the gastric access site were examined.Transgastric access, closure and 14 d survival was achieved in all pigs. The mean closure time was 18.1 ± 19.2 min and a mean of 2.1 ± 1 devices were used. Supplementary clips were necessary in 2 cases. The closure time was progressively reduced (24.8 ± 13.9 min in the first 5 pigs vs 11.4 ± 5.9 min in the last 5, P = NS). At necropsy, the gastric access site was correctly closed in all cases with all brace-bars present. One device was misplaced in the mesocolon. Minimal adhesions were observed in 3 pigs and signs of mild peritonitis and adhesions in one.The use of this new tissue anchoring device in porcine stomachs is feasible, reproducible and effective and requires a short learning curve.

Keywords

closuregastrotomynotesporcine modelsurvivalCholecystectomyClosureFull-thickness resectionGastrotomyLigationLong-term survivalModelNotesPeritoneoscopyPorcine modelStaplerSurvivalSutureSutured closureTransluminal endoscopic surgeryVideos

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal World Journal Of Gastroenterology due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2011, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine (Miscellaneous).

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.07, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jun 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-07, the following number of citations:

  • WoS: 7
  • Scopus: 7
  • Europe PMC: 4
  • OpenCitations: 7

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-07:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 9 (PlumX).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: Last Author (Fernández Esparrach, Gloria).