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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Related Experiment Video

Updated: Mar 23, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors
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Non-Exposure, Device-Assisted Endoscopic Full-thickness Resection.

Markus Bauder1, Arthur Schmidt1, Karel Caca1

  • 1Department of Gastroenterology and Oncology, Klinikum Ludwigsburg, Medizinische Klinik I, Posilipo-Strasse 1-4, Ludwigsburg 71640, Germany.

Gastrointestinal Endoscopy Clinics of North America
|April 3, 2016
PubMed
Summary
This summary is machine-generated.

Two new endoscopic techniques enable full-thickness resection in the GI tract. These non-exposure methods, using novel devices, avoid peritoneal contamination for safer procedures.

Keywords:
EFTREndoscopic full-thickness resectionEndoscopic suturingGISTOver-the-scopeSubepithelial tumors

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Endoscopic Procedures

Background:

  • Interventional endoscopy is advancing towards surgical resection capabilities.
  • Existing endoscopic techniques have limitations for full-thickness resections.

Purpose of the Study:

  • To introduce two novel device-assisted techniques for endoscopic full-thickness resection (EFTR).
  • To describe methods for safe EFTR in the upper and lower gastrointestinal tract.

Main Methods:

  • A novel over-the-scope device for clip-assisted colorectal lesion resection.
  • Transmural suturing device for endoscopic full-thickness resection of gastric subepithelial tumors.

Main Results:

  • Both techniques employ a 'close first-cut later' principle, preventing gastrointestinal content exposure.
  • Successful application of device-assisted EFTR in upper and lower GI tract procedures.

Conclusions:

  • Device-assisted EFTR represents a significant advancement in interventional endoscopy.
  • These techniques offer safer, more extended resection options, adhering to surgical principles.