Endoscopic full-thickness resection of superficial colorectal neoplasms using a new over-the-scope clip system: A single-centre study

Andrisani, Gianluca; Pizzicannella, Margherita; Martino, Margareth; Rea, R. Lindsay; Pandolfi, M.; Taffon, Chiara; Caricato, Marco; Coppola, Roberto; Crescenzi, Anna; Costamagna, Guido; Matteo, Francesco Maria Di

doi:10.1016/j.dld.2017.04.015

Cited by 52 publications

(49 citation statements)

References 33 publications

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“…Technical success, defined as reaching the lesion, deploying the clip and performing an en bloc and macroscopically complete resection, and histologically complete (R0) resection was achieved in all patients. These rates of technical success and R0 resection are higher than previously reported, which range from 75 to 100% [7, 8, 16, 17] and from 75 to 83% [7, 8], respectively. No major complications were described, and only a minority reported abdominal pain.…”

contrasting

confidence: 47%

Now, More than Ever Before, Colonoscopy Is a Therapeutic Procedure

Gomes

Pinho

2018

GE Port J Gastroenterol

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contrasting

confidence: 47%

Now, More than Ever Before, Colonoscopy Is a Therapeutic Procedure

Gomes

Pinho

2018

GE Port J Gastroenterol

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“…The feasibility and effectiveness of this procedure was shown in several case series and 2 retrospective studies, with few complications reported [4,6,7]. Recently, the results of the Wall Resect study, the first prospective multicenter trial, were published.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Full-Thickness Resection of a Colonic Lateral Spreading Tumor

Bucalau

Lemmers

Arvanitakis

et al. 2018

Dig Dis

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The Full-Thickness Resection Device (FTRD; Ovesco Endoscopy, Tübingen, Germany) combines endoscopic full-thickness resection (EFTR) of gastrointestinal lesions with closure and cutting of the tissue in one integrated procedure. It provides en-bloc resection with an integral wall specimen for histopathological evaluation. This resection technique is partially filling of the gaps between the current procedures of choice in endoscopy (endoscopic mucosal resection and endoscopic submucosal dissection) and surgery. We present the case of an EFTR procedure performed for a periappendicular lateral spreading tumor.

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“…The FTRD system has been marketed in 2014 [9], and the evidence available with this technique is continuously increasing. A multicenter prospective study with 181 patients [11] and a few case series, the largest including 60 patients, have been published so far [12-16]. Data show that this technique may offer a simple and reasonable time-consuming procedure for the treatment of various conditions for which classic endoscopic resection techniques, such as EMR and ESD, have failed or were considered to be at high risk for perforation [2].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience

de-Ferro¹,

Castela²,

Pereira³

et al. 2018

GE Port J Gastroenterol

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Background and Aims: Endoscopic full-thickness resection (EFTR) is an emerging technique for the treatment of various conditions for which classic endoscopic resection techniques have failed or were considered to be at high risk for perforation. The full-thickness resection device (FTRD) is an over-the-scope system which allows a single-step EFTR. The aim of our study is to describe our experience in EFTR of colorectal lesions using the FTRD. Methods: Nine patients (10 colorectal lesions) were proposed for EFTR. Safety, R0 resection and endoscopic treatment success were evaluated. Results: Reasons for referral included nonlifting adenomas (n = 4), nonlifting adenoma recurrence (n = 5), and submucosal lesion (n = 1). EFTR was technically successful in all patients. The mean duration of the procedure was 55 min. R0 resection was obtained in all patients. No major complications were detected. All lesions were successfully treated by the endoscopic technique and no patient was referred for surgery. In patients with available follow-up (n = 6), no recurrence was detected. Conclusions: EFTR is a feasible, reasonable time-consuming, safe, and promising endoscopic resection technique. Key Messages: FTRD is an additional tool for difficult-to-treat colorectal lesions.

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Endoscopic full-thickness resection of superficial colorectal neoplasms using a new over-the-scope clip system: A single-centre study

Cited by 52 publications

References 33 publications

Now, More than Ever Before, Colonoscopy Is a Therapeutic Procedure

Now, More than Ever Before, Colonoscopy Is a Therapeutic Procedure

Endoscopic Full-Thickness Resection of a Colonic Lateral Spreading Tumor

Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience

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