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NOTES and Endoluminal Surgery pp 61–70Cite as

Endoscopic Full-Thickness Resection

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Part of the book series: Clinical Gastroenterology ((CG))

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.

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Abbreviations

EFTR:

Endoscopic full-thickness resection

ESD:

Endoscopic submucosal dissection

GI:

Gastrointestinal

NOTES:

Natural orifice translumenal endoscopic surgery

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Author information

Authors and Affiliations

  1. University of Maryland School of Medicine, Baltimore, USA

    Sergey V. Kantsevoy

  2. Therapeutic Endoscopy, Institute for Digestive Health and Liver Diseases, Mercy Medical Center, 301 St. Paul Place, POB 7th Floor, Suite 718, Baltimore, MD, 21202, USA

    Sergey V. Kantsevoy

  3. World Institute for Digestive Endoscopy (WIDER), Barcelona, Spain

    Sergey V. Kantsevoy & Joseph Ramon Armengol-Miro

  4. Digestive Endoscopy, Vall d’Hebron University Hospital, Barcelona, Spain

    Joseph Ramon Armengol-Miro

Authors
  1. Sergey V. Kantsevoy
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  2. Joseph Ramon Armengol-Miro
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Corresponding author

Correspondence to Sergey V. Kantsevoy .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Massachusetts / Baystate Medical Center, Springfield, Massachusetts, USA

    John R. Romanelli

  2. Division of Gastroenterology, University of Massachusetts / Baystate Medical Center, Springfield, Massachusetts, USA

    David J. Desilets

  3. Lowell Surgical Associates , North Chelmsford, Massachusetts, USA

    David B. Earle

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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

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  • DOI: https://doi.org/10.1007/978-3-319-50610-4_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50608-1

  • Online ISBN: 978-3-319-50610-4

  • eBook Packages: MedicineMedicine (R0)

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