Endoscopic full-thickness dissection (EFTD) in the rectum: a case series
Abstract Background Rectal endoscopic full- thickness dissection (EFTD) using a flexible colonoscope is an alternative to the well-established trans-anal endoscopic microsurgery (TEM) and the trans-anal minimally invasive surgery (TAMIS) techniques for resecting dysplastic or malignant rectal lesion...
Published in: | Techniques in Coloproctology |
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Springer Science and Business Media LLC
2021
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Online Access: | http://dx.doi.org/10.1007/s10151-021-02558-w https://link.springer.com/content/pdf/10.1007/s10151-021-02558-w.pdf https://link.springer.com/article/10.1007/s10151-021-02558-w/fulltext.html |
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crspringernat:10.1007/s10151-021-02558-w 2023-05-15T17:39:20+02:00 Endoscopic full-thickness dissection (EFTD) in the rectum: a case series Rushfeldt, C. F. Nordbø, M. Steigen, S. E. Dehli, T. Gjessing, P. Norderval, S. UiT The Arctic University of Norway 2021 http://dx.doi.org/10.1007/s10151-021-02558-w https://link.springer.com/content/pdf/10.1007/s10151-021-02558-w.pdf https://link.springer.com/article/10.1007/s10151-021-02558-w/fulltext.html en eng Springer Science and Business Media LLC https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 CC-BY Techniques in Coloproctology ISSN 1123-6337 1128-045X Gastroenterology Surgery journal-article 2021 crspringernat https://doi.org/10.1007/s10151-021-02558-w 2022-01-04T08:16:17Z Abstract Background Rectal endoscopic full- thickness dissection (EFTD) using a flexible colonoscope is an alternative to the well-established trans-anal endoscopic microsurgery (TEM) and the trans-anal minimally invasive surgery (TAMIS) techniques for resecting dysplastic or malignant rectal lesions. This study evaluated EFTD safety by analyzing outcomes of the first patients to undergo rectal EFTD at the University Hospital of North-Norway. Methods The first 10 patients to undergo rectal EFTD at the University Hospital of North-Norway April, 2016 and January, 2021, were included in the study. The procedural indications for EFTD were therapeutic resection of non-lifting adenoma, T1 adenocarcinoma (AC), recurrent neuroendocrine tumor (NET) and re-excision of a T1-2 AC. Results EFTD rectal specimen histopathology revealed three ACs, five adenomas with high-grade dysplasia (HGD), one NET and one benign lesion. Six procedures had negative lateral and vertical resection margins and in three cases lateral margins could not be evaluated due to piece-meal dissection or heat damaged tissue. Two patients experienced delayed post-procedural hemorrhage, one of whom also presented with a concurrent post-procedural infection. No serious complications occurred. Conclusion Preliminary results from this introductory trial indicate that EFTD in the rectum can be conducted with satisfactory perioperative results and low risk of serious complications. Article in Journal/Newspaper North Norway Springer Nature (via Crossref) Norway Techniques in Coloproctology 26 3 187 193 |
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Springer Nature (via Crossref) |
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crspringernat |
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English |
topic |
Gastroenterology Surgery |
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Gastroenterology Surgery Rushfeldt, C. F. Nordbø, M. Steigen, S. E. Dehli, T. Gjessing, P. Norderval, S. Endoscopic full-thickness dissection (EFTD) in the rectum: a case series |
topic_facet |
Gastroenterology Surgery |
description |
Abstract Background Rectal endoscopic full- thickness dissection (EFTD) using a flexible colonoscope is an alternative to the well-established trans-anal endoscopic microsurgery (TEM) and the trans-anal minimally invasive surgery (TAMIS) techniques for resecting dysplastic or malignant rectal lesions. This study evaluated EFTD safety by analyzing outcomes of the first patients to undergo rectal EFTD at the University Hospital of North-Norway. Methods The first 10 patients to undergo rectal EFTD at the University Hospital of North-Norway April, 2016 and January, 2021, were included in the study. The procedural indications for EFTD were therapeutic resection of non-lifting adenoma, T1 adenocarcinoma (AC), recurrent neuroendocrine tumor (NET) and re-excision of a T1-2 AC. Results EFTD rectal specimen histopathology revealed three ACs, five adenomas with high-grade dysplasia (HGD), one NET and one benign lesion. Six procedures had negative lateral and vertical resection margins and in three cases lateral margins could not be evaluated due to piece-meal dissection or heat damaged tissue. Two patients experienced delayed post-procedural hemorrhage, one of whom also presented with a concurrent post-procedural infection. No serious complications occurred. Conclusion Preliminary results from this introductory trial indicate that EFTD in the rectum can be conducted with satisfactory perioperative results and low risk of serious complications. |
author2 |
UiT The Arctic University of Norway |
format |
Article in Journal/Newspaper |
author |
Rushfeldt, C. F. Nordbø, M. Steigen, S. E. Dehli, T. Gjessing, P. Norderval, S. |
author_facet |
Rushfeldt, C. F. Nordbø, M. Steigen, S. E. Dehli, T. Gjessing, P. Norderval, S. |
author_sort |
Rushfeldt, C. F. |
title |
Endoscopic full-thickness dissection (EFTD) in the rectum: a case series |
title_short |
Endoscopic full-thickness dissection (EFTD) in the rectum: a case series |
title_full |
Endoscopic full-thickness dissection (EFTD) in the rectum: a case series |
title_fullStr |
Endoscopic full-thickness dissection (EFTD) in the rectum: a case series |
title_full_unstemmed |
Endoscopic full-thickness dissection (EFTD) in the rectum: a case series |
title_sort |
endoscopic full-thickness dissection (eftd) in the rectum: a case series |
publisher |
Springer Science and Business Media LLC |
publishDate |
2021 |
url |
http://dx.doi.org/10.1007/s10151-021-02558-w https://link.springer.com/content/pdf/10.1007/s10151-021-02558-w.pdf https://link.springer.com/article/10.1007/s10151-021-02558-w/fulltext.html |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway |
genre_facet |
North Norway |
op_source |
Techniques in Coloproctology ISSN 1123-6337 1128-045X |
op_rights |
https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1007/s10151-021-02558-w |
container_title |
Techniques in Coloproctology |
container_volume |
26 |
container_issue |
3 |
container_start_page |
187 |
op_container_end_page |
193 |
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1766140103080542208 |