When EFTR (Endoscopic Full-Thickness Resection) goes wrong: Strategy for resolution

Abstract Text First colonoscopy 2010: 60 mm LST-GH (JNET2A) in the distal rectum treated with p-EMR. Several recurrences treated with EMR. Last colonoscopy 2024:18 mm recurrence with severe fibrosis. Hybrid EMR-EFTR technique chosen given morphology and size. After the deployment of the FTRD, the snare is trapped by the clip. Several maneuvers tried without success (push and pull technique with another snare). Finally, a “single-port laparoscopy technique” was succesful: An anoscope was inserted, with ultra-thin gastroscopy and Metzenbaum scissors to cut the snare under direct vision. The key takeaway is the approach with tools and techniques from other specialties, demonstrating the importance of a multidisciplinary mindset in endoscopic procedures (thinking outside of the box) [1] [2] [3] [4].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/13d6c026-b3ef-4d92-9917-f516f5f5d44e/Uploads/16849_EFTRD_complicacion%20%20sin%20powerpoint.mp4

 

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Conflicts of Interest

Authors do not have any conflict of interest to disclose.

• References

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Publication History

Article published online:
27 March 2025