Colonic endoscopic full-thickness resection (EFTR) with the over-the-scope device (FTRD): a short case series

Abstract

The endoscopic treatment of early gastrointestinal neoplasms usually involves the resection of the superficial layers, mucosa and submucosa, of the wall. However, in some circumstances, a full-thickness resection may be necessary. Endoscopic full-thickness resection (EFTR) may be an adequate approach in challenging lesions such as adenomas or early cancers with severe submucosal fibrosis or small sub-epithelial lesions in the lower GI tract. Furthermore, this novel technique has the potential to spare surgical therapy in a subset of cases. In this paper, we describe our results with the full-thickness resection device (FTRD) in three different situations.

Keywords

• Colonic neoplasms
• Colonic subepithelial tumor
• Granular cell tumor
• Endoscopic full-thickness resection
• Full-thickness resection device
• Over-the-scope clip