KMID : 1038120180510010103
|
|
Clinical Endoscopy 2018 Volume.51 No. 1 p.103 ~ p.108
|
|
Full-Thickness Resection Device for Complex Colorectal Lesions in High-Risk Patients as a Last-Resort Endoscopic Treatment: Initial Clinical Experience and Review of the Current Literature
|
|
Wedi Edris
Orlandini Beatrice Gromski Mark Jung Carlo Felix Maria Tchoumak Irina Boucher Stephanie Ellenrieder Volker Hochberger Jurgen
|
|
Abstract
|
|
|
The full-thickness resection device (FTRD) is a novel endoscopic device approved for the resection of colorectal lesions. This case-series describes the device and its use in high-risk patients with colorectal lesions and provides an overview of the potential indications in recently published data. Between December 2014 and September 2015, 3 patients underwent endoscopic full thickness resection using the FTRD for colorectal lesions: 1 case for a T1 adenocarcinoma in the region of a surgical anastomosis after recto-sigmoidectomy, 1 case for a non-lifting colonic adenoma with low-grade dysplasia in an 89-year old patient and 1 for a recurrent adenoma with high-grade dysplasia in a young patient with ulcerative rectocolitis who was under immunosuppression after renal transplantation. Both technical and clinical success rates were achieved in all cases. The size of removed lesions ranged from 9 to 30 mm. Overall, the most frequent indication in the literature has been for lifting or non-lifting adenoma, submucosal tumors, neuroendocrin tumors, incomplete endoscopic resection (R1) or T1 carcinoma. Colorectal FTRD is a feasible technique for the treatment of colorectal lesions and represents a minimally invasive alternative for either surgical or conventional endoscopic resection strategies.
|
|
KEYWORD
|
|
Colonoscopy, Colorectal neoplasms, Full-thickness resection device, Over-the-scope-clip
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|