Facilitating retroflexed endoscopic full-thickness resection through loop-mediated or rope-mediated countertraction (with videos)

Lü, Jiangang; Jiao, Taotao; Li, Yanmei; Zheng, Minhua; Lu, Xuefeng

doi:10.1016/j.gie.2015.08.063

Cited by 31 publications

(39 citation statements)

References 11 publications

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“…The key question in the EFTR procedure is how to maintain a good visual field after the active perforation and how to completely close the gastric‐wall defect after removal of the tumor . In our series, three patients required laparoscopic closure after EFTR.…”

Section: Discussionmentioning

confidence: 87%

“…“Traction” is known to be one of the important key steps in EFTR . Use of the external grasping forceps in our technique can provide effective traction by driving the extra‐component of the tumor into the gastric lumen and toward the cardia, providing adequate exposure for resection.…”

Section: Discussionmentioning

confidence: 99%

“…Such tumors are unlikely to be resected completely and safely by standard endoscopic resection (ER); therefore, ER is not routinely indicated for most cases of G‐SMT, particularly for gastric gastrointestinal stromal tumor (GIST) . However, more recently, endoscopic muscularis excavation/dissection and endoscopic full‐thickness resection (EFTR) have been reported as a minimally invasive treatment for G‐SMT originating from the MP layer . These procedures, derived from endoscopic submucosal dissection (ESD) techniques, seem to be effective and safe for patients with G‐SMT.…”

Section: Introductionmentioning

confidence: 99%

“…These procedures, derived from endoscopic submucosal dissection (ESD) techniques, seem to be effective and safe for patients with G‐SMT. However, such ER procedures require advanced endoscopic skills, particularly for endoscopic closure of a gastric‐wall defect; thus, reports on such ER procedures published to date are relatively limited . These procedures still require evidence of oncological outcomes and remain an investigational treatment .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Abe

Takeuchi

Ohki

et al. 2018

Digestive Endoscopy

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Results: The ER group had a significantly higher percentage of intraluminal growing type of tumor (100% vs 41%) and smaller tumor size (23 vs 33 mm) than the LR group. The ER group had a significantly shorter operative time (93 vs 145 min) and less blood loss (13 vs 30 mL) than the LR group. In the ER group, three patients who had tumors located on the anterior wall of the stomach required laparoscopic closure after EFTR because of difficulty in endoscopic closure of the gastric-wall defect. Postoperative complication rates and duration of postoperative hospital stays did not differ between the two groups.Conclusions: ER may be technically feasible, safe, less invasive, and oncologically appropriate options for selected patients with the intraluminal growing type of G-SMT smaller than 30 mm. EFTR may be more reasonable alternatives to LR in selected patients with a small G-SMT located on the lesser curvature side.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Abe

Takeuchi

Ohki

et al. 2018

Digestive Endoscopy

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show abstract

“…In a study conducted on 62 cases of SMTs of the gastric fundus, Lu et al [10] carried out a retrospective comparison of the method of EFTR, thread-with-clip method, and loop-assisted method. They reported that operation time was significantly shorter in EFTR with both the thread-with-clip method and loop-assisted method.…”

Section: Current Techniques Of Full-thickness Resectionmentioning

confidence: 99%

Current Status of Exposed Endoscopic Full-Thickness Resection and Further Development of Non-Exposed Endoscopic Full-Thickness Resection

Mori¹,

Rahman

Kobara³

et al. 2017

Digestion

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Endoscopic full-thickness resection (EFTR) is a procedure that makes it possible to access the lesions that are on the wall of the digestive tract via the shortest distance through the mouth. Because of the ultra-minimal invasive nature of the treatment, pure EFTR is a highly promising surgical procedure that allows the radical excision of full-thickness layers of digestive tract tumors using only a flexible endoscope. There are 2 types of EFTR methods: exposed and non-exposed. Considering the risks of contracting infection and intraperitoneal dissemination of tumor cells, non-exposed EFTR is an ideal method. However, a number of issues remain unresolved, including the method for performing a full-thickness suture under endoscopic view and the challenge of securing the operating field in the case of gastrointestinal tract collapse. Moreover, advances in the development of equipment such as full-thickness suturing devices would be helpful to make this therapeutic procedure the most minimally invasive endoscopic surgery ever.

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Endoscopic Resection of Submucosal Lesions of the Upper GI Tract: Full-Thickness Resection (EFTR) and Submucosal Tunneling Resection (STER)

Zhou

Cai

Elkholy

2021

Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

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Facilitating retroflexed endoscopic full-thickness resection through loop-mediated or rope-mediated countertraction (with videos)

Cited by 31 publications

References 11 publications

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Current Status of Exposed Endoscopic Full-Thickness Resection and Further Development of Non-Exposed Endoscopic Full-Thickness Resection

Endoscopic Resection of Submucosal Lesions of the Upper GI Tract: Full-Thickness Resection (EFTR) and Submucosal Tunneling Resection (STER)

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