A Review of Endoscopic Full-thickness Resection, Submucosal Tunneling Endoscopic Resection, and Endoscopic Submucosal Dissection for Resection of Subepithelial Lesions

Abstract

Gastrointestinal subepithelial tumors (SETs) are often found while performing routine endoscopy. Recently, there has been the development of new endoscopic techniques such as endoscopic submucosal dissection, submucosal tunnel endoscopic resection, and endoscopic full-thickness resection, all minimally invasive approaches which have made it possible to resect SETs that were previously resected with surgery. This review discusses the endoscopic treatment of patients with SETs, outcomes for endoscopic treatment, procedure-related complications, and advantages and disadvantages of these endoscopic techniques.

Efficacy and Safety Analysis of Submucosal Tunnel Endoscopic Resection for Submucosal Masses in Esophageal Muscularis Propria

“…Larger tumors generally tend to adopt the traditional treatment method with low treatment cost. Tumors with large volume or growing out of the cavity are difficult to be completely removed from the body, which is a high-risk factor for postoperative adverse reactions of patients [ 18 ]. The occurrence of adhesion may increase the pain of patients during the operation and affect the treatment effect.…”

A novel endoscopic suture strategy using barbed string

“…Gastrointestinal perforation is a common complication of endoscopic therapy, especially with some novel approaches such as endoscopic submucosal dissection (ESD) 1 , that can lead to serious or even life-threatening outcomes if not handled properly. With the rapid development of endoscopic techniques, various endoscopic suture methods for closing the defect have been reported 2 3 4 .…”

Endoscopic full‑thickness resection with clip‑ and snare‑assisted traction for gastric submucosal tumours in the fundus: A single‑centre case series

“…The feasibility, safety, and effectiveness of endoscopic therapy have been proven by many studies (18)(19)(20)(21)(22). ESD can completely remove gastric lesions with a diameter smaller than 3 cm, which is conducive to postoperative recovery and reduces body damage (23). If the tumours originate deep in the MP or adhere to the serosa layer, perforation and incomplete resection more easily occur during ESD (24,25).…”