{"title":"Future of full thickness resection – Devices, indications, robotics, what is missing","authors":"Philip WY Chiu MD (CUHK), MBChB (CUHK), FRCSEd, FCSHK, FHKAM (Surgery), FASGE","doi":"10.1016/j.tgie.2019.03.010","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>Recently, technological advances through endoscopic submucosal dissection, </span>per oral endoscopic myotomy<span>, and submucosal tunnel endoscopic resection allowed the extension of therapeutic </span></span>endoscopy<span><span> from treatment of luminal to extraluminal neoplasia. The performance of endoscopic full thickness resection (EFTR) allowed en bloc resection of luminal and extraluminal neoplasia with adequate resection margins. EFTR is currently indicated for treatment of gastrointestinal stromal tumors, early GI neoplasia with nonlifting or recurrent </span>adenoma or neoplasia after endoscopic resection. This chapter reviews the devices and technologies used for EFTR, the clinical results reported in the literature as well as possible future developments for EFTR.</span></p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2019.03.010","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Gastrointestinal Endoscopy","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1096288319300105","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Recently, technological advances through endoscopic submucosal dissection, per oral endoscopic myotomy, and submucosal tunnel endoscopic resection allowed the extension of therapeutic endoscopy from treatment of luminal to extraluminal neoplasia. The performance of endoscopic full thickness resection (EFTR) allowed en bloc resection of luminal and extraluminal neoplasia with adequate resection margins. EFTR is currently indicated for treatment of gastrointestinal stromal tumors, early GI neoplasia with nonlifting or recurrent adenoma or neoplasia after endoscopic resection. This chapter reviews the devices and technologies used for EFTR, the clinical results reported in the literature as well as possible future developments for EFTR.
期刊介绍：
The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.
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