Colon Polypectomy with Endoscopic Submucosal Dissection and Endoscopic Full-Thickness Resection.

Area of Science:

• Gastroenterology
• Endoscopic Surgery
• Colorectal Cancer Prevention

Background:

• Endoscopic resection is the standard for large colorectal polyps.
• Techniques include endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic full-thickness resection (EFTR).
• ESD and EFTR offer advanced options for complex polyp removal.

Purpose of the Study:

• To review the indications for ESD and EFTR in colorectal procedures.
• To detail the techniques employed in ESD and EFTR.
• To summarize the adverse events associated with ESD and EFTR.

Main Methods:

• Literature review of endoscopic resection techniques.
• Comparative analysis of ESD and EFTR applications in the colon.
• Synthesis of data on indications, techniques, and complications.

Main Results:

• ESD is suitable for en-bloc resection of advanced GI lesions.
• EFTR is indicated for lesions with deep submucosal invasion or fibrosis.
• Both techniques have specific indications and potential adverse events.

Conclusions:

• ESD and EFTR are valuable endoscopic tools for managing complex colorectal polyps.
• Understanding their distinct indications and techniques is crucial for optimal patient outcomes.
• Further research may refine the application and safety of these procedures.