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

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....

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Detalles Bibliográficos
Autores principales: Aslanian, Harry R., Sethi, Amrita, Bhutani, Manoop S., Goodman, Adam J., Krishnan, Kumar, Lichtenstein, David R., Melson, Joshua, Navaneethan, Udayakumar, Pannala, Rahul, Parsi, Mansour A., Schulman, Allison R., Sullivan, Shelby A., Thosani, Nirav, Trikudanathan, Guru, Trindade, Arvind J., Watson, Rabindra R., Maple, John T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Technology Status Evaluation Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669323/
https://www.ncbi.nlm.nih.gov/pubmed/31388606
http://dx.doi.org/10.1016/j.vgie.2019.03.010
Descripción
Sumario: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.

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