Abstract
Flexible endoscopy was originally developed to examine and treat lesions originating from mucosal layer of gastrointestinal (GI) tract wall and located inside the lumen of hollow GI tract. Improvement in flexible endoscopes and development of new endoscopic accessories created a new endoscopic specialty—natural orifice translumenal endoscopic surgery (NOTES). Full-thickness resection of GI tract lesions is possibly one of the most promising directions in NOTES procedures. Endoscopic full-thickness resection of GI tract lesions can be done in three possible ways: via a submucosal tunnel separating the exit from GI tract lumen and the entrance into mediastinal or peritoneal cavity; the “closed” technique, allowing full-thickness resection of GI tract lesions without entering the peritoneal cavity; and the “open” technique, requiring full-thickness resection of the lesion with subsequent transmural closure of the GI tract wall defect. The OverStitch™ (Apollo EndoSurgery, Austin, TX) endoscopic suturing device allows reliable, surgical quality closure of inadvertent (perforations) and intentional (full-thickness resection) defects after endoscopic removal of GI tract lesions and truly serves as enabling technology for future NOTES procedures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- EFTR:
-
Endoscopic full-thickness resection
- ESD:
-
Endoscopic submucosal dissection
- GI:
-
Gastrointestinal
- NOTES:
-
Natural orifice translumenal endoscopic surgery
References
Rattner D, Kalloo A. ASGE/SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery. October 2005. Surg Endosc. 2006;20:329–33.
Armengol-Miro JR, Dot Bach J, Suboh Abadia MA, et al. Natural orifice translumenal endoscopic surgery (NOTES) for G.I. tract neoplasia. In: Testoni PA, Arcidiacono PG, Mariani A, editors. Endoscopic management of gastrointestinal cancer and precancerous conditions. Turin, Italy: Edizioni Minerva Medica; 2015, p. 277–83.
Sumiyama K, Gostout CJ, Rajan E, et al. Transgastric cholecystectomy: transgastric accessibility to the gallbladder improved with the SEMF method and a novel multibending therapeutic endoscope. Gastrointest Endosc. 2007;65:1028–34.
Liu BR, Song JT, Kong LJ, Pei FH, Wang XH, Du YJ. Tunneling endoscopic muscularis dissection for subepithelial tumors originating from the muscularis propria of the esophagus and gastric cardia. Surg Endosc. 2013;27(11):4354–9.
Pasricha PJ, Hawari R, Ahmed I, et al. Submucosal endoscopic esophageal myotomy: a novel experimental approach for the treatment of achalasia. Endoscopy. 2007;39:761–4.
Inoue H, Minami H, Kobayashi Y, et al. Peroral endoscopic myotomy (POEM) for esophageal achalasia. Endoscopy. 2010;42:265–71.
Inoue H, Tianle KM, Ikeda H, et al. Peroral endoscopic myotomy for esophageal achalasia: technique, indication, and outcomes. Thorac Surg Clin. 2011;21:519–25.
Zhou PH, Cai MY, Yao LQ. Peroral endoscopic myotomy for esophageal achalasia: report of 42 cases. Zhonghua Wei Chang Wai Ke Za Zhi. 2011;14:705–8.
Stavropoulos SN, Harris MD, Hida S, Brathwaite C, Demetriou C, Grendell J. Endoscopic submucosal myotomy for the treatment of achalasia (with video). Gastrointest Endosc. 2010;72:1309–11.
Stavropoulos SN, Friedel D, Modayil R, Iqbal S, Grendell JH. Endoscopic approaches to treatment of achalasia. Therap Adv Gastroenterol. 2013;6:115–35.
Lee SH, Kim SJ, Lee TH, Chung IK, Park SH, et al. Human applications of submucosal endoscopy under conscious sedation for pure natural orifice transluminal endoscopic surgery. Surg Endosc. 2013;27(8):3016–20.
Kaehler G, Grobholz R, Langner C, Suchan K, Post S. A new technique of endoscopic full-thickness resection using a flexible stapler. Endoscopy. 2006;38:86–9.
Kaehler GF, Langner C, Suchan KL, Freudenberg S, Post S. Endoscopic full-thickness resection of the stomach: an experimental approach. Surg Endosc. 2006;20:519–21.
Schmidt A, Bauerfeind P, Gubler C, Damm M, Bauder M, Caca K. Endoscopic full-thickness resection in the colorectum with a novel over-the-scope device: first experience. Endoscopy. 2015;47:719–25.
Schmidt AR, Meining A, Birk M, et al. Endoscopic full-thickness resection in the lower gastrointestinal tract using an over-the-scope device—interim results of a prospective multicenter trial. Gastrointest Endosc. 2016;83:AB119.
Ikeda K, Mosse CA, Park PO, et al. Endoscopic full-thickness resection: circumferential cutting method. Gastrointest Endosc. 2006;64:82–9.
Kantsevoy SV. Endoscopic full-thickness resection: new minimally invasive therapeutic alternative for GI-tract lesions. Gastrointest Endosc. 2006;64:90–1.
Huang LY, Cui J, Liu YX, Wu CR, Yi DL. Endoscopic therapy for gastric stromal tumors originating from the muscularis propria. World J Gastrenterolol 2012;18:3465–71.
Shi Q, Chen T, Zhong YS, et al. Complete closure of large gastric defects after endoscopic full-thickness resection, using endoloop and metallic clip interrupted suture. Endoscopy. 2013;45:329–34.
Zhang Y, Wang X, Xiong G, Qian Y, Wang H, et al. Complete defect closure of gastric submucosal tumors with purse-string sutures. Surg Endosc. 2014;28(6):1844–51.
Zhang B, Huang LY, Wu CR, Cui J, Jiang LX, Zheng HT. Endoscopic full-thickness resection of gastric stromal tumor arising from the muscularis propria. Chin Med J (Engl). 2013;126:2435–9.
Brigic A, Symons NR, Faiz O, Fraser C, Clark SK, Kennedy RH. A systematic review regarding the feasibility and safety of endoscopic full thickness resection (EFTR) for colonic lesions. Surg Endosc. 2013;27(10):3520–9.
Kantsevoy SV, Bitner M. Esophageal stent fixation with endoscopic suturing device (with video). Gastrointest Endosc. 2012;76:1251–5.
Kantsevoy SV, Thuluvath PJ. Successful closure of a chronic refractory gastrocutaneous fistula with a new endoscopic suturing device (with video). Gastrointest Endosc. 2012;75:688–90.
Armengol-Miro JR, Dot J, Abu-Suboh Abadia M, et al. New endoscopic suturing device for closure of chronic gastrocutaneous fistula in an immunocompromised patient. Endoscopy. 2012;43(Suppl 2 UCTN):E403–4.
Bonin EA, Wong Kee Song LM, Gostout ZS, Bingener J, Gostout CJ. Closure of a persistent esophagopleural fistula assisted by a novel endoscopic suturing system. Endoscopy. 2012;44(Suppl 2 UCTN):E8–9.
Jirapinyo P, Watson RR, Thompson CC. Use of a novel endoscopic suturing device to treat recalcitrant marginal ulceration (with video). Gastrointest Endosc. 2012;76:435–9.
Kantsevoy SV, Bitner M, Mitrakov AA, Thuluvath PJ. Endoscopic suturing closure of large mucosal defects after endoscopic submucosal dissection is technically feasible, fast, and eliminates the need for hospitalization (with videos). Gastrointest Endosc. 2013;79:503–7.
Rieder E, Dunst CM, Martinec DV, Cassera MA, Swanstrom LL. Endoscopic suture fixation of gastrointestinal stents: proof of biomechanical principles and early clinical experience. Endoscopy. 2012;44:1121–6.
Stavropoulos SN, Modayil R, Friedel D. Current applications of endoscopic suturing. World J Gastrointest Endosc. 2015;7:777–89.
Kantsevoy SV, Bitner M, Davis JM, Hajiyeva G, Thuluvath PJ, Gushchin V. Endoscopic suturing closure of large iatrogenic colonic perforation. Gastrointest Endosc. 2015;82:754–5.
Kantsevoy SV, Bitner M, Hajiyeva G, Mirovski PM, Cox ME, et al. Endoscopic management of colonic perforations: clips versus suturing closure (with videos). Gastrointest Endosc. 2015 (Epub ahead of print).
Armengol-Miro JR, Dot J, Abu-Suboh Abadia M, et al. Full-thickness purely endoscopic resection of colon cancer. Gastrointest Endosc. 2012;75:AB114–AB5.
Armengol-Miro JR, Abu-Suboh Abadia M, Dot J, et al. Full-thickness endoscopic resection of gastrointestinal cancer: from animal experiments to humans. Gastrointest Endosc. 2013;77:AB458.
Kantsevoy SV. Endoscopic suturing devices. In: Testoni PA, Arcidiacono PG, Mariani A, editors. Endoscopic management of gastrointestinal cancer and precancerous conditions. Turin, Italy: Edizioni Minerva Medica; 2015. p. 249–55.
Kantsevoy SV. Endoscopic suturing for closure of transmural defects. Techniques in Gastrointest Endosc. 2015;17:136–40.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Kantsevoy, S.V., Armengol-Miro, J.R. (2017). Endoscopic Full-Thickness Resection. In: Romanelli, J., Desilets, D., Earle, D. (eds) NOTES and Endoluminal Surgery. Clinical Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-319-50610-4_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-50610-4_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-50608-1
Online ISBN: 978-3-319-50610-4
eBook Packages: MedicineMedicine (R0)