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
Clinical Endoscopy
;
: 103-108, 2018.
Article
in English
| WPRIM
| ID: wpr-739684
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Proctocolitis
/
Anastomosis, Surgical
/
Colorectal Neoplasms
/
Adenocarcinoma
/
Adenoma
/
Colonoscopy
/
Immunosuppression Therapy
/
Kidney Transplantation
/
Lifting
/
Colon
Type of study:
Etiology study
Limits:
Humans
Language:
English
Journal:
Clinical Endoscopy
Year:
2018
Type:
Article
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