Endoscopic full thickness resection (EFTR) of colorectal neoplasms with the Full Thickness Resection Device (FTRD): Clinical experience from two tertiary referral centers in Switzerland

United European Gastroenterology Journal
Patrick AepliRemus Frei

Abstract

Endoscopic full thickness resection (EFTR) by the Full Thickness Resection Device (FTRD) has recently been introduced as a method to allow resection of certain lesions such as adenomatous polyps that would not be resectable by standard polypectomy techniques. We report our clinical experience with FTRD procedures, assessing technical success, completeness of resection (R0 status), rate of histologically proven FTR and safety. We conducted a retrospective analysis of 33 consecutive patients with colonic polyps treated with FTRD from May 2015 to November 2016. Indications mainly were adenoma recurrence or residual adenoma with nonlifting sign after previous polypectomy. In the 31 cases amenable to EFTR, resection was en bloc and histologically complete (R0) in 87.9% (29/33) of patients. Histologically confirmed complete full thickness resection (FTR) was achieved in 80.6% (25/31). Three post-procedure bleedings and one perforation were seen. FTRD offers an additional endoscopic approach to treat nonlifting colorectal lesions. EFTR by FTRD appears to be feasible and efficacious in the resection of benign neoplasms of up to 30 mm in diameter and may be an alternative to surgery in selected patients. Given a significant rate of comp...Continue Reading

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Citations

Mar 23, 2020·ANZ Journal of Surgery·Wai Keong Keith ChoongMichael J Johnston
Aug 28, 2020·World Journal of Gastrointestinal Endoscopy·Maximilian GerickeSiegbert Faiss
Feb 23, 2019·World Journal of Gastrointestinal Endoscopy·Ammar B NassriBruno de Souza Ribeiro
Aug 2, 2019·Techniques in Coloproctology·H AlbrechtC Schäfer
Jun 27, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ejaz HossainPradeep Bhandari
Feb 13, 2019·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Miguel Fraile LópezFernando Fernández Cadenas
Aug 25, 2020·The American Journal of Gastroenterology·Benjamin MeierArthur Schmidt
Nov 3, 2020·European Journal of Gastroenterology & Hepatology·Philip BogerPraful Patel
May 4, 2021·Journal of the Anus, Rectum and Colon·Keigo SuzukiYosuke Fukunaga
Jun 5, 2021·Clinical Case Reports·Vincent Zimmer
Jul 23, 2019·GE Portuguese Journal of Gastroenterology·Susana Mão de-FerroAntónio Dias Pereira
Oct 11, 2021·Gastrointestinal Endoscopy·Russell D DolanHiroyuki Aihara

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Methods Mentioned

BETA
dissection
surgical resection
sedation
X-ray

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