DISSECTION OF NEOPLASTIC POLYPS IN THE COLON USING ENDOSCOPIC FULL-THICKNESS RESECTION (EFTR)

Aims:

Objectify treatment evolution of neoplastic polyps in the colon using Endoscopic Full-Thickness Resection (EFTR) at Central University Hospital of Asturias.

Methods:

Endoscopic Full-Thickness Resection (EFTR) is a new technique for diagnostic and therapeutic dissections with a flexible endoscope in the colon and rectum, allowing the endoscopist to resect all layers of the lesion including the serosa. Resection of the wall is done quickly and easily while ensuring the closure of the wall. Two different clinical case reports of patients were studied in our hospital during 2017. Case 1: A 62-year-old male patient, with a depressed flat lesion of 15 mm, with an unstructured crypt pattern, between the splenic angle and the distal transverse colon, very suggestive of malignancy. Case 2: 83-year-old male patient, with a flat, depressed and unstructured lesion, with a pseudopediculus of 20 mm, in sigma. Surgical treatment is disallowed. Endoscopic Full-Thickness Resection (EFTR) is performed by colonoscopy in both cases.

Results:

After realization of Endoscopic Full-Thickness Resection in these patients, the problem was fully sorted out with good evolution in both cases.

Conclusions:

Endoscopic Full-Thickness Resection (EFTR) is a new alternative in the treatment of neoplastic colon polyps that are not amenable to surgery or other endoscopic techniques, such as Endoscopic Mucous Resection (EMR) or Endoscopic Subcompound Dissection (ESD). Endoscopic Full-Thickness Resection (EFTR) has been used in cases presented, achieving block resection of all layers of the neoplastic lesion.