scholarly journals Endoscopic full-thickness resection of benign and malignant colon lesions with one-year follow up in a Danish cohort

2021 ◽  
pp. 1-7
Author(s):  
Mustafa Bulut ◽  
Niels Buch ◽  
Svend Knuhtsen ◽  
Ismail Gögenur ◽  
Lasse Bremholm
Keyword(s):  
Full Thickness ◽  
Endoscopic Full Thickness Resection ◽  
Danish Cohort ◽  
One Year

scholarly journals Resección endoscópica transmural del colon. Reporte de tres casos

2020 ◽  
Author(s):  
Luis Ernesto Caro ◽  
Sandra Canseco ◽  
Christian Sánchez ◽  
Pablo Hoffman ◽  
María Carolina Bolino
Keyword(s):  
Histopathological Examination ◽  
Plain Film ◽  
Complete Resection ◽  
High Grade ◽  
Defect Closure ◽  
Full Thickness ◽  
Tumor Delineation ◽  
Small Series ◽  
Endoscopic Full Thickness Resection

Introduction. Endoscopic Full-thickness Resection (EFTR) consists of the full-thickness resection of a limited portion of the digestive wall immediately followed by defect closure. This technique has been proposed for the resection of selected lesions not amenable to conventional endoscopic resection. Objective. The aim of this work is to describe the first three cases of colonic EFTR performed in Argentina. Material and methods. Three patients are described, one with a laterally spreading tumor of approximately 35-40 mm (n = 1) and two with an incomplete adenoma resection with a scar and a non-lifting sing (n = 2). After tumor delineation using a marking probe, EFTR was performed using the full thickness resection device (FTRD, Ovesco, Germany). Antibiotic prophylaxis was prescribed, abdominal plain film was performed 5 hours after the procedure and hospital discharge was granted after twenty four hours. Results. The resection of the lesions was macroscopically complete and no signs of perforation or significant bleeding were detected. Histopathological examination confirmed the complete resection of a tubulovillous (n = 2) and a tubular (n = 1) adenoma, all with high-grade dysplasia. No complications were detected during the follow up. Conclusion. It was concluded that the EFTR is an innovative technique that was effective and safe used in this small series of patients as an alternative to surgery.

scholarly journals Hybrid endoscopic mucosal resection and full-thickness resection for large colonic polyps harboring a small focus of invasive cancer: a case series

2021 ◽  
Vol 09 (11) ◽  
pp. E1686-E1691
Author(s):  
Jamie S. Chua ◽  
Hao Dang ◽  
Liselotte W. Zwager ◽  
Nik Dekkers ◽  
James C. H. Hardwick ◽  
...  
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Case Series ◽  
Colonic Polyps ◽  
Full Thickness ◽  
Surveillance Colonoscopy ◽  
Noninvasive Treatment ◽  
Mucosal Resection ◽  
Endoscopic Full Thickness Resection ◽  
Small Focus

AbstractEndoscopic treatment of large laterally spreading tumors (LSTs) with a focus of submucosally invasive colorectal cancer (T1 CRC) can be challenging. We evaluated outcomes of a hybrid resection technique using piecemeal endoscopic mucosal resection (pEMR) and endoscopic full-thickness resection (eFTR) in patients with large colonic LSTs containing suspected T1 CRC. Six hybrid pEMR-eFTR procedures for T1 CRCs were registered in a nationwide eFTR registry between July 2015 and December 2019. In all cases, the invasive part of the lesion was successfully isolated with eFTR; with eFTR, histologically complete resection of the invasive part was achieved in 5 /6 patients (83.3 %). No adverse events occurred during or after the procedure. The median follow-up time was 10 months (range 6–27), with all patients having undergone ≥ 1 surveillance colonoscopy. One patient had a small adenomatous recurrence, which was removed endoscopically. In conclusion, hybrid pEMR-eFTR is a promising noninvasive treatment modality that seems feasible for a selected group of patients with large LSTs containing a small focus of T1 CRC.

scholarly journals Neotendon infilling of a full thickness rotator cuff foot print tear following ultrasound guided liquid platelet rich plasma injection and percutaneous tenotomy: favourable outcome up to one year

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 23 ◽  
Author(s):  
Arockia Doss
Keyword(s):  
Rotator Cuff ◽  
Platelet Rich Plasma ◽  
Favourable Outcome ◽  
Full Thickness ◽  
Ultrasound Guided ◽  
Plasma Injection ◽  
Percutaneous Tenotomy ◽  
One Year ◽  
Excellent Clinical Outcome

This is a case report on excellent clinical outcome and neotendon infilling at one year follow up in a degenerative rotator cuff full thickness tear following percutaneous tenotomy and platelet rich plasma injection.

Full-thickness resection of neuroendocrine tumors in the rectum

Endoscopy ◽  
2019 ◽  
Vol 52 (01) ◽  
pp. 68-72 ◽  
Author(s):  
Benjamin Meier ◽  
Heinz Albrecht ◽  
Thomas Wiedbrauck ◽  
Arthur Schmidt ◽  
Karel Caca
Keyword(s):  
Neuroendocrine Tumors ◽  
Lesion Size ◽  
Tumor Characteristics ◽  
Full Thickness ◽  
Post Market ◽  
Endoscopic Full Thickness Resection ◽  
Major Adverse Events ◽  
Comparative Trials

Abstract Background Rectal neuroendocrine tumors (NETs) are subepithelial tumors with potential for malignancy. Depending on tumor characteristics, endoscopic or surgical resection is recommended. However, the optimal endoscopic approach is not defined. This is the first larger study evaluating endoscopic full-thickness resection (EFTR) of rectal NETs. Methods For resection, the full-thickness resection device (FTRD) was used. A registry was created as part of post-market clinical follow-up. All cases of rectal NETs in the registry were analyzed retrospectively. Results 31 German centers entered data of 501 FTRD procedures and 40 cases of rectal NETs were identified. The median lesion size was 8 mm. All lesions could be resected using FTRD. The median procedure time was 18.5 minutes. Resection was macroscopically and histologically complete in all cases. Full-thickness resection was achieved in 95 %. No major adverse events occurred. Endoscopic follow-up showed no evidence of residual or recurrent tumor. Conclusion EFTR is safe and effective for resection of smaller rectal NETs. Prospective comparative trials are needed to define the role of EFTR of rectal NETs.

scholarly journals Risk of appendicitis after endoscopic full-thickness resection of lesions involving the appendiceal orifice: a retrospective analysis

Endoscopy ◽  
2020 ◽  
Author(s):  
Simone Schmidbaur ◽  
Andreas Wannhoff ◽  
Benjamin Walter ◽  
Benjamin Meier ◽  
Claus Schäfer ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Acute Appendicitis ◽  
Retrospective Analysis ◽  
Endoscopic Resection ◽  
Full Thickness ◽  
Interventional Endoscopy ◽  
Novel Technique ◽  
Endoscopic Full Thickness Resection ◽  
Imminent Risk

Abstract Background Conventional endoscopic resection of lesions affecting the appendiceal orifice is difficult. Endoscopic full-thickness resection (EFTR) is a novel technique in interventional endoscopy. As EFTR near the appendiceal orifice is associated with a subtotal appendectomy, it remains unclear whether the risk of developing appendicitis is increased. We conducted a retrospective analysis of lesions involving the appendiceal orifice treated by EFTR. Methods This was a multicenter retrospective analysis of patients (n = 50) treated with EFTR for lesions involving the appendiceal orifice between 2014 and 2019. The objective was to evaluate the occurrence of appendicitis. Results Acute appendicitis occurred in seven patients (14 %) during follow-up. Conservative treatment was sufficient in four cases, and three patients underwent appendectomy. Conclusions EFTR of lesions involving the appendiceal orifice may be associated with an imminent risk of developing appendicitis and a consecutive need for appendectomy. Patients should be informed about this specific risk prior to resection. It is unclear why some patients develop appendicitis while the majority remains asymptomatic.

scholarly journals Modified Orthodontic Bone Stretching for Ankylosed Tooth Repositioning: A Case Report.

2020 ◽  
Vol 14 (1) ◽  
pp. 235-239
Author(s):  
Claudio Stacchi ◽  
Luca Barlone ◽  
Antonio Rapani ◽  
Federico Berton ◽  
Luca Contardo ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Time ◽  
Full Thickness ◽  
Short Treatment ◽  
Present Case Report ◽  
One Year ◽  
Orthodontic Forces ◽  
Short Treatment Time ◽  
Initial Movement

Background: Different approaches were proposed in the literature for the treatment of malpositioned ankylosed teeth. The present case report describes a modification of Orthodontic Bone Stretching Technique (OBS) for the repositioning of ankylosed teeth, consisting of dentoalveolar segmental osteotomies performed with piezoelectric instruments followed by orthodontic and orthopedic traction. Case Report: A 22-year-old female in good general health was referred by her orthodontist due to an infraoccluded and ankylosed maxillary upper left canine. Attempts of conventional and corticotomy-assisted orthodontic alignment of the tooth were previously performed with no success. After elevating a full-thickness flap, three osteotomies were performed by using piezoelectric inserts (Piezotome Cube, Acteon, Merignac, France). Mesial and distal cuts were full-thickness osteotomies, parallel to the long axis of the tooth, through the buccal and palatal cortical plates. The apical osseous incision was a horizontal corticotomy, involving only the buccal plate, and connecting the vertical osteotomies two millimetres over the apex of the tooth. Heavy orthodontic forces were immediately applied by using both dental and skeletal anchorage. The initial movement of the dentoalveolar segment was observed three weeks after surgery and case finishing has been completed in two months. At a one-year follow-up, the repositioned canine showed good periodontal conditions, no discoloration and positive pulp response to the electric test. Conclusion: Modified OBS technique was effective in repositioning an infraoccluded and ankylosed maxillary canine, providing satisfactory function and esthetics with short treatment time.

Wirksamkeit und Sicherheit der endoskopischen Vollwandresektion (FTRD): Ergebnisse des Deutschen Kolon FTRD Registers

2021 ◽  
pp. 1-2
Author(s):  
Kia Homayounfar
Keyword(s):  
Lesion Size ◽  
Single Step ◽  
R0 Resection ◽  
Full Thickness ◽  
Efficacy And Safety ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Endoscopic Full Thickness Resection

<b>Introduction:</b> Endoscopic full-thickness resection (EFTR) is a powerful option for resection of colorectal lesions not amenable to conventional endoscopic resection. The full-thickness resection device (FTRD) allows clip-assisted EFTR with a single-step technique. We report on results of a large nationwide FTRD registry. <b>Methods:</b> The «German colonic FTRD registry» was created to further assess efficacy and safety of the FTRD System after approval in Europe. Data were analyzed retrospectively. <b>Results:</b> Sixty-five centers contributed 1,178 colorectal FTRD procedures. Indications for EFTR were difficult adenomas (67.1%), early carcinomas (18.4%), subepithelial tumors (6.8%), and diagnostic EFTR (1.3%). Mean lesion size was 15 × 15 mm and most lesions were pretreated endoscopically (54.1%). Technical success was 88.2% and R0 resection was achieved in 80.0%. R0 resection was significantly higher for subepithelial tumor compared with that for other lesions. No difference in R0 resection was found for smaller vs larger lesions or for colonic vs rectal procedures. Adverse events occurred in 12.1% (3.1% major events and 2.0% required surgical treatment). Endoscopic follow-up was available in 58.0% and showed residual/recurrent lesions in 13.5%, which could be managed endoscopically in most cases (77.2%). <b>Discussion:</b> To date, this is the largest study of colorectal EFTR using the FTRD System. The study demonstrated favorable efficacy and safety for «difficult-to-resect» colorectal lesions and confirms results of previous studies in a large «real-world» setting. Further studies are needed to compare EFTR with other advanced resection techniques and evaluate long-term outcome.

1848: Revolix 70 Watt 2 Micron Continuous Wave Laser Vaporesection of the Prostate. Preliminary Results After a One Year Follow-Up

2007 ◽  
Vol 177 (4S) ◽  
pp. 614-614
Author(s):  
Thorsten Bach ◽  
Thomas R.W. Herrmann ◽  
Roman Ganzer ◽  
Andreas J. Gross
Keyword(s):  
Continuous Wave ◽  
Continuous Wave Laser ◽  
Preliminary Results ◽  
Wave Laser ◽  
One Year

337: Monarc™ Transobturator Sling for the Treatment of Stress Urinary Incontinence: A Prospective, Multi­Center Study with One Year Follow-Up

2006 ◽  
Vol 175 (4S) ◽  
pp. 110-110 ◽  
Author(s):  
Robert D. Moore ◽  
John Miklos ◽  
L. Dean Knoll ◽  
Mary Dupont ◽  
Mickey Karram ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Transobturator Sling ◽  
One Year
Sign in / Sign up

Export Citation Format

Share Document