ASGE guideline for endoscopic full-thickness resection and submucosal tunnel endoscopic resection

VideoGIE : an Official Video Journal of the American Society for Gastrointestinal Endoscopy
ASGE Technology CommitteeJohn T Maple

Abstract

With the development of reliable endoscopic closure techniques and tools, endoscopic full-thickness resection (EFTR) is emerging as a therapeutic option for the treatment of subepithelial tumors and epithelial neoplasia with significant fibrosis. EFTR may be categorized as "exposed" and "nonexposed." In exposed EFTR, the full-thickness resection is undertaken with a tunneled or nontunneled technique, with subsequent closure of the defect. In nonexposed EFTR, a secure serosa-to-serosa apposition is achieved before full-thickness resection of the isolated lesion. This document reviews current techniques and devices used for EFTR and reviews clinical applications and outcomes.

Citations

Sep 15, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jiancong HuPing Lan
Apr 21, 2020·ACG Case Reports Journal·Ahmad Al-TaeeSamer Alkaade
Sep 6, 2020·Current Opinion in Gastroenterology·Thomas R McCarty, Marvin Ryou
Jan 12, 2021·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Yasuhiro GodaTsutomu Masaki
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Apr 16, 2021·Japanese Journal of Clinical Oncology·Seiichiro AbeHiroyuki Daiko
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Aug 13, 2021·Diseases of the Colon and Rectum·Justin M Greco, Jonathan S Abelson

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Methods Mentioned

BETA
dissection
surgical resection

Software Mentioned

STER
Plicator
POEM
SurgASSIST
EFTR

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