Endoscopic full‐thickness resection with endoscopic hand suturing for rectal neoplasm involved in an anastomotic line

Abstract

BRIEF EXPLANATIONW E REPORT A successful case of endoscopic fullthickness resection (EFTR) with endoscopic hand suturing (EHS) 1,2 for rectal cancer. A 74-year-old male was referred to our department for the endoscopic resection of a 20-mm flat, elevated lesion, the oral part of which was unexpectedly interrupted at an anastomotic site that was

Potential for expanded application of endoscopic hand suturing: A pilot study of 15 cases

“…A total of 15 patients were recruited and underwent EHS for the following situations/diseases (Table 1): endoscopic full-thickness resection (EFTR) under the placement of one laparoscopic port for gastric SELs (n = 9) [3], EFTR for rectal neoplasms (n = 2) [4], thoracoscopy-assisted EFTR for esophageal gastrointestinal stromal tumor (GISTs, n = 1; Figure 1, Video 1), refractory bleeding ulcer (n = 1) [5], peroral endoscopic myotomy (POEM, n = 1), and esophagojejunal anastomotic leak (n = 1). In the refractory bleeding case, repeated bleeding occurred twice even though tentative endoscopic hemostasis was obtained in each session; finally, we closed the This article is protected by copyright.…”

“…A total of 15 patients were recruited and underwent EHS for the following situations/diseases (▶ Table 1 and ▶ Table 2): endoscopic full-thickness resection (EFTR) under placement of one laparoscopic port for gastric subepithelial lesions (n = 9) [3], EFTR for rectal neoplasms (n = 2) [4], thoracoscopy-assisted EFTR for esophageal gastrointestinal stromal tumor (GIST; n = 1; ▶ Fig. 1, ▶ Video 1), refractory bleeding ulcer (n = 1) [5], peroral endoscopic myotomy (POEM; n = 1), and esophago-jejunal junction (EGJ) anastomotic leak (n = 1).…”

Freehand suturing to apply traction during endoscopic submucosal dissection

“…The technique of freehand suturing in gastrointestinal endoscopy has evolved through technical developments such as knotless barbed wire sutures and needle manipulators, with initial publications showing promising results 1 2 . The main advantage of freehand suturing over currently used device-based suturing is the ease of the technique.…”