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ASGE guideline for endoscopic full-thickness resection and submucosal tunnel endoscopic resection.

ABSTRACT: With the development of reliable endoscopic closure techniques and tools, endoscopic full-thickness resection (EFTR) is emerging as a therapeutic option for the treatment of subepithelial tumors and epithelial neoplasia with significant fibrosis. EFTR may be categorized as "exposed" and "nonexposed." In exposed EFTR, the full-thickness resection is undertaken with a tunneled or nontunneled technique, with subsequent closure of the defect. In nonexposed EFTR, a secure serosa-to-serosa apposition is achieved before full-thickness resection of the isolated lesion. This document reviews current techniques and devices used for EFTR and reviews clinical applications and outcomes.

SUBMITTER: ASGE Technology Committee 

PROVIDER: S-EPMC6669323 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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ASGE guideline for endoscopic full-thickness resection and submucosal tunnel endoscopic resection.

Aslanian Harry R HR   Sethi Amrita A   Bhutani Manoop S MS   Goodman Adam J AJ   Krishnan Kumar K   Lichtenstein David R DR   Melson Joshua J   Navaneethan Udayakumar U   Pannala Rahul R   Parsi Mansour A MA   Schulman Allison R AR   Sullivan Shelby A SA   Thosani Nirav N   Trikudanathan Guru G   Trindade Arvind J AJ   Watson Rabindra R RR   Maple John T JT  

VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy 20190629 8

With the development of reliable endoscopic closure techniques and tools, endoscopic full-thickness resection (EFTR) is emerging as a therapeutic option for the treatment of subepithelial tumors and epithelial neoplasia with significant fibrosis. EFTR may be categorized as "exposed" and "nonexposed." In exposed EFTR, the full-thickness resection is undertaken with a tunneled or nontunneled technique, with subsequent closure of the defect. In nonexposed EFTR, a secure serosa-to-serosa apposition  ...[more]

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