Endoscopic submucosal dissection (ESD) is an option for scarred, large colorectal adenomas that do not lift well and\/or contain a suspicious area of an advanced lesion. Endoscopic mucosal resection (EMR) followed by endoscopic full-thickness resection (EFTR), however, is faster and easier than ESD for these types of lesions. The current description of this hybrid-EFTR approach includes 75 patients and is the largest series yet reported. <\/p>\n\n\n\n
The mean lesion size was 36.5 mm, and two-thirds were right-sided. Six lesions involved the appendiceal orifice. Most of the lesions had been previously treated in some fashion. Technical success was 100%, although, in two cases, the entire lesion could not be pulled into the cap of the full-thickness resection device. <\/p>\n\n\n\n
The mean procedure time was 83.6 minutes, with T1 cancer identified in 12 cases, and 8 of these had subsequent surgery for adverse histologic features. Among the adverse features included in the study was deep submucosal invasion, and one patient required surgery for appendicitis. <\/p>\n\n\n\n
There were 70 patients with follow-up, with an 11.4% rate of residual lesion, of which all but one were treated by repeat EFTR.<\/p>\n","protected":false},"excerpt":{"rendered":"
Endoscopic submucosal dissection (ESD) is an option for scarred, large colorectal adenomas that do not lift well and\/or contain a suspicious area of an advanced lesion. Endoscopic mucosal resection (EMR) followed by endoscopic full-thickness resection (EFTR), however, is faster and easier than ESD for these types of lesions. The current description of this hybrid-EFTR approach … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2058,730,268,2983,785,267,2143],"class_list":["post-14024","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-colon-2","tag-eftr","tag-emr","tag-endoscopic-full-thickness-resection","tag-endoscopic-submucosal-dissection","tag-esd","tag-t1"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/14024","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=14024"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=14024"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=14024"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}