Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000400003 |
Resumo: | Background and Aims: Endoscopic full-thickness resection (EFTR) is an emerging technique for the treatment of various conditions for which classic endoscopic resection techniques have failed or were considered to be at high risk for perforation. The full-thickness resection device (FTRD) is an over-the-scope system which allows a single-step EFTR. The aim of our study is to describe our experience in EFTR of colorectal lesions using the FTRD. Methods: Nine patients (10 colorectal lesions) were proposed for EFTR. Safety, R0 resection and endoscopic treatment success were evaluated. Results: Reasons for referral included nonlifting adenomas (n = 4), nonlifting adenoma recurrence (n = 5), and submucosal lesion (n = 1). EFTR was technically successful in all patients. The mean duration of the procedure was 55 min. R0 resection was obtained in all patients. No major complications were detected. All lesions were successfully treated by the endoscopic technique and no patient was referred for surgery. In patients with available follow-up (n = 6), no recurrence was detected. Conclusions: EFTR is a feasible, reasonable time-consuming, safe, and promising endoscopic resection technique. Key Messages: FTRD is an additional tool for difficult-to-treat colorectal lesions. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center ExperienceFull-thickness resectionColorectal adenomasNonlifting lesionsBackground and Aims: Endoscopic full-thickness resection (EFTR) is an emerging technique for the treatment of various conditions for which classic endoscopic resection techniques have failed or were considered to be at high risk for perforation. The full-thickness resection device (FTRD) is an over-the-scope system which allows a single-step EFTR. The aim of our study is to describe our experience in EFTR of colorectal lesions using the FTRD. Methods: Nine patients (10 colorectal lesions) were proposed for EFTR. Safety, R0 resection and endoscopic treatment success were evaluated. Results: Reasons for referral included nonlifting adenomas (n = 4), nonlifting adenoma recurrence (n = 5), and submucosal lesion (n = 1). EFTR was technically successful in all patients. The mean duration of the procedure was 55 min. R0 resection was obtained in all patients. No major complications were detected. All lesions were successfully treated by the endoscopic technique and no patient was referred for surgery. In patients with available follow-up (n = 6), no recurrence was detected. Conclusions: EFTR is a feasible, reasonable time-consuming, safe, and promising endoscopic resection technique. Key Messages: FTRD is an additional tool for difficult-to-treat colorectal lesions.Sociedade Portuguesa de Gastrenterologia2019-08-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000400003GE-Portuguese Journal of Gastroenterology v.26 n.4 2019reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000400003Mão-de-Ferro,SusanaCastela,JoanaPereira,Danielainfo:eu-repo/semantics/openAccess2023-07-27T12:36:32ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience |
title |
Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience |
spellingShingle |
Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience Mão-de-Ferro,Susana Full-thickness resection Colorectal adenomas Nonlifting lesions |
title_short |
Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience |
title_full |
Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience |
title_fullStr |
Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience |
title_full_unstemmed |
Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience |
title_sort |
Endoscopic Full-Thickness Resection of Colorectal Lesions with the New FTRD System: Single-Center Experience |
author |
Mão-de-Ferro,Susana |
author_facet |
Mão-de-Ferro,Susana Castela,Joana Pereira,Daniela |
author_role |
author |
author2 |
Castela,Joana Pereira,Daniela |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Mão-de-Ferro,Susana Castela,Joana Pereira,Daniela |
dc.subject.por.fl_str_mv |
Full-thickness resection Colorectal adenomas Nonlifting lesions |
topic |
Full-thickness resection Colorectal adenomas Nonlifting lesions |
description |
Background and Aims: Endoscopic full-thickness resection (EFTR) is an emerging technique for the treatment of various conditions for which classic endoscopic resection techniques have failed or were considered to be at high risk for perforation. The full-thickness resection device (FTRD) is an over-the-scope system which allows a single-step EFTR. The aim of our study is to describe our experience in EFTR of colorectal lesions using the FTRD. Methods: Nine patients (10 colorectal lesions) were proposed for EFTR. Safety, R0 resection and endoscopic treatment success were evaluated. Results: Reasons for referral included nonlifting adenomas (n = 4), nonlifting adenoma recurrence (n = 5), and submucosal lesion (n = 1). EFTR was technically successful in all patients. The mean duration of the procedure was 55 min. R0 resection was obtained in all patients. No major complications were detected. All lesions were successfully treated by the endoscopic technique and no patient was referred for surgery. In patients with available follow-up (n = 6), no recurrence was detected. Conclusions: EFTR is a feasible, reasonable time-consuming, safe, and promising endoscopic resection technique. Key Messages: FTRD is an additional tool for difficult-to-treat colorectal lesions. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-08-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000400003 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000400003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452019000400003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
GE-Portuguese Journal of Gastroenterology v.26 n.4 2019 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
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repository.mail.fl_str_mv |
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_version_ |
1777304485172871168 |