Endoscopic full-thickness resection: Current status

World J Gastroenterol. 2015 Aug 21;21(31):9273-85. doi: 10.3748/wjg.v21.i31.9273.

Abstract

Conventional endoscopic resection techniques such as endoscopic mucosal resection or endoscopic submucosal dissection are powerful tools for treatment of gastrointestinal neoplasms. However, those techniques are restricted to superficial layers of the gastrointestinal wall. Endoscopic full-thickness resection (EFTR) is an evolving technique, which is just about to enter clinical routine. It is not only a powerful tool for diagnostic tissue acquisition but also has the potential to spare surgical therapy in selected patients. This review will give an overview about current EFTR techniques and devices.

Keywords: Colorectal adenoma; Colorectal carcinoma; Endoscopic full-thickness resection; Endoscopic gastrointestinal surgery; Over-the-scope-clip.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Endoscopes, Gastrointestinal
  • Endoscopy, Gastrointestinal / adverse effects
  • Endoscopy, Gastrointestinal / instrumentation
  • Endoscopy, Gastrointestinal / methods*
  • Equipment Design
  • Gastrointestinal Neoplasms / pathology
  • Gastrointestinal Neoplasms / surgery*
  • Humans
  • Predictive Value of Tests
  • Treatment Outcome