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Endoscopic full-thickness resection: Current status.

Arthur Schmidt1, Benjamin Meier1, Karel Caca1

  • 1Arthur Schmidt, Benjamin Meier, Karel Caca, Department of Gastroenterology and Oncology, Klinikum Ludwigsburg, 71640 Ludwigsburg, Germany.

World Journal of Gastroenterology
|August 27, 2015
PubMed
Summary
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Endoscopic full-thickness resection (EFTR) is a new technique for gastrointestinal neoplasms, offering diagnostic tissue acquisition and potentially avoiding surgery. This review covers current EFTR methods and devices.

Area of Science:

  • Gastroenterology
  • Endoscopic Surgery

Background:

  • Conventional endoscopic resection (endoscopic mucosal resection, endoscopic submucosal dissection) is limited to superficial gastrointestinal layers.
  • Endoscopic full-thickness resection (EFTR) is an emerging technique for gastrointestinal neoplasms.

Purpose of the Study:

  • To provide an overview of current endoscopic full-thickness resection (EFTR) techniques.
  • To discuss the potential of EFTR in clinical practice and for diagnostic tissue acquisition.

Main Methods:

  • Review of current literature on endoscopic full-thickness resection (EFTR) techniques and devices.
  • Analysis of the applicability and potential of EFTR in managing gastrointestinal neoplasms.

Main Results:

Keywords:
Colorectal adenomaColorectal carcinomaEndoscopic full-thickness resectionEndoscopic gastrointestinal surgeryOver-the-scope-clip

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  • EFTR is an evolving technique poised for clinical integration.
  • EFTR serves as a valuable tool for diagnostic tissue acquisition.
  • EFTR may obviate the need for surgical intervention in select cases.

    • Conclusions:

    • Endoscopic full-thickness resection (EFTR) represents a significant advancement in endoscopic gastrointestinal procedures.
    • EFTR offers a minimally invasive option for both diagnosis and treatment of gastrointestinal neoplasms.
    • Further research and standardization of EFTR techniques are expected as it enters routine clinical use.