Endoscopic full-thickness dissection (EFTD) in the rectum: a case series
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...
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ftpubmed:oai:pubmedcentral.nih.gov:8857165 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. 2021-12-28 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857165/ http://www.ncbi.nlm.nih.gov/pubmed/34964075 https://doi.org/10.1007/s10151-021-02558-w en eng Springer International Publishing http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857165/ http://www.ncbi.nlm.nih.gov/pubmed/34964075 http://dx.doi.org/10.1007/s10151-021-02558-w © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . CC-BY Tech Coloproctol Original Article Text 2021 ftpubmed https://doi.org/10.1007/s10151-021-02558-w 2022-02-27T01:36:49Z 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. Text North Norway PubMed Central (PMC) Norway Techniques in Coloproctology 26 3 187 193 |
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Original Article 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 |
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Original Article |
description |
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. |
format |
Text |
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 International Publishing |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857165/ http://www.ncbi.nlm.nih.gov/pubmed/34964075 https://doi.org/10.1007/s10151-021-02558-w |
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Norway |
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Norway |
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North Norway |
genre_facet |
North Norway |
op_source |
Tech Coloproctol |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857165/ http://www.ncbi.nlm.nih.gov/pubmed/34964075 http://dx.doi.org/10.1007/s10151-021-02558-w |
op_rights |
© The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
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CC-BY |
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https://doi.org/10.1007/s10151-021-02558-w |
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