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Consensus on the digestive endoscopic tunnel technique
Ning-Li Chai1, Hui-Kai Li1, En-Qiang Linghu2
1Department of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing 100853, China.
World Journal of Gastroenterology
|February 28, 2019
Summary
The digestive endoscopic tunnel technique (DETT) enables endoscopic treatment for various gastrointestinal diseases. This consensus standardizes DETT procedures, indications, and management for improved patient outcomes.
Area of Science:
- Gastroenterology and Endoscopy
- Surgical Innovation
- Medical Consensus Development
Background:
- The digestive endoscopic tunnel technique (DETT) allows endoscopic treatment for diseases previously requiring surgery.
- DETT establishes a submucosal tunnel for diagnosing and treating lesions within the mucosa, muscularis propria (MP), and even outside the gastrointestinal tract.
- Current applications include early-stage cancer resection, myotomy, and extra-GI lesion management.
Purpose of the Study:
- To establish an expert consensus on the digestive endoscopic tunnel technique (DETT).
- To standardize indications, contraindications, procedures, and postoperative care for DETT.
- To provide comprehensive guidance on DETT for lesions in the mucosa, MP, and outside the GI tract.
Main Methods:
- A review and synthesis of current knowledge and practices regarding DETT.
- Development of standardized protocols for DETT procedures.
- Inclusion of details on tunnel creation, lesion management, and complication handling.
Main Results:
- The consensus defines DETT, its mechanism, and significance.
- It outlines infection prevention and management of DETT-associated complications.
- Detailed applications for mucosal, MP, and extra-GI lesions are provided, including comparisons with other surgical operations.
Conclusions:
- DETT is a versatile technique for endoscopic treatment of diverse gastrointestinal and extra-GI conditions.
- Standardization through this consensus is crucial for safe and effective DETT implementation.
- Further optimization and widespread adoption of DETT are anticipated.
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