2021
DOI: 10.3748/wjg.v27.i8.725
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Endoscopic full-thickness resection using an over-the-scope device: A prospective study

Abstract: BACKGROUND Endoscopic submucosal dissection to treat mucosal and submucosal lesions sometimes results in low rates of microscopically margin-negative (R0) resection. Endoscopic full-thickness resection (EFTR) has a high R0 resection rate and allows for the definitive diagnosis and treatment of selected mucosal and submucosal lesions that are not suitable for conventional resection techniques. AIM To evaluate the efficacy and safety of EFTR using an over-the-scope clip (… Show more

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Cited by 9 publications
(11 citation statements)
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“…T O PROVIDE ROBUST data on EFTR safety and outcomes, we conducted a brief meta-analysis, including published randomized controlled trials, nonrandomized concurrent controlled trials, case-control studies, cohort studies and serial case reports (>10 cases), [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] for GI SMTs, during which the number of publications witnessed booming.…”
Section: Device-assisted Eftrmentioning
confidence: 99%
“…T O PROVIDE ROBUST data on EFTR safety and outcomes, we conducted a brief meta-analysis, including published randomized controlled trials, nonrandomized concurrent controlled trials, case-control studies, cohort studies and serial case reports (>10 cases), [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] for GI SMTs, during which the number of publications witnessed booming.…”
Section: Device-assisted Eftrmentioning
confidence: 99%
“…Another new technique called the clip-with-line traction-assisted preclosure assisted in EFTR was reported in a 47-year-old man with fundal GIST and was beneficial to preventing GIST falling into the abdominal cavity and the development of related complications such as peritonitis ( 135 ). Over-the-scope clip (OTSC) is an applicable device for the assistance of EFTR and verified with 100% excision success rate in treating GISTs with safety and effectiveness, which is especially recommended for a tumor size of <2 cm ( 136 , 137 ). Researches of EFTR techniques are summarized in Table 6 .…”
Section: Advances In Endoscopy Techniquesmentioning
confidence: 99%
“…Endoscopic full-thickness resection (EFTR) cooperated with the full-thickness suturing technique will contribute to realizing radical resection of gastric GISTs located in the deep MP layer with endoscopically manageable complications and sound oncological outcomes, which is applicable to GISTs up to 4 cm and those located in all anatomical positions of the stomach Another new technique called the clip-with-line traction-assisted preclosure assisted in EFTR was reported in a 47-year-old man with fundal GIST and was beneficial to preventing GIST falling into the abdominal cavity and the development of related complications such as peritonitis (135). Over-the-scope clip (OTSC) is an applicable device for the assistance of EFTR and verified with 100% excision success rate in treating GISTs with safety and effectiveness, which is especially recommended for a tumor size of <2 cm (136,137). Researches of EFTR techniques are summarized in Table 6.…”
Section: Advances In Endoscopy Techniquesmentioning
confidence: 99%
“…A novel endoscopic full thickness resection device is also being used [31 ▪▪ ]. This device deploys an over-the-scope clip deep to the lesion.…”
Section: Management: Emerging Endoscopic Therapeutic Modalitiesmentioning
confidence: 99%