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Recent advances and current challenges in endoscopic resection with the full-thickness resection device
1Division of Gastroenterology, University of Colorado School of Medicine, Aurora, CO 80045, United States.
World Journal of Gastroenterology
|July 21, 2023
Summary
Endoscopic full-thickness resection (EFTR) using the FTRD system offers a new approach for gastrointestinal lesions. Recent modifications expand its use to the upper GI tract, addressing current challenges.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
- Medical Devices
Background:
- Endoscopic full-thickness resection (EFTR) is a key technique for managing gastrointestinal (GI) lesions.
- Conventional methods are often insufficient for certain mucosal and subepithelial lesions.
- The FTRD system provides a combined resection and closure solution.
Purpose of the Study:
- To review the full-thickness resection device (FTRD) system for endoscopic full-thickness resection.
- To highlight recent advancements in FTRD technology and application.
- To discuss current challenges associated with the FTRD system.
Main Methods:
- Review of literature on the FTRD system.
- Analysis of its application in both colorectal and upper GI tract procedures.
- Discussion of technological evolution and clinical outcomes.
Main Results:
- The FTRD system is a commercially available device for EFTR.
- Initial use was limited to the colorectum; a modified version now serves the upper GI tract.
- The review synthesizes current data on its efficacy and limitations.
Conclusions:
- The FTRD system represents a significant advancement in endoscopic GI lesion management.
- Expansion to the upper GI tract broadens its therapeutic potential.
- Ongoing research and development are crucial to overcome existing challenges.

