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Procedures - Closure of Perforation/Fistula

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Video case report
Open Access
Hybrid resection with endoscopic submucosal dissection and full-thickness resection device of a large cecal laterally spreading tumor involving the appendix
VideoGIE
Vol. 5Issue 8p372–374Published online: May 14, 2020
- Gianluca Andrisani
- Francesco Maria Di Matteo
Cited in Scopus: 0
- Video
Endoscopic submucosal dissection (ESD) allows for en bloc resection of large superficial neoplasms of the GI tract. However, ESD of lesions involving the appendix has a high risk of adverse events, even for experts.^1-3 Endoscopic full-thickness resection (EFTR) using a full-thickness resection device (FTRD; Ovesco Endoscopy, Tübingen, Germany) is a new approach for these lesions, but the main limitation is tumor size.^4-6 A recent case series described the hybrid ESD-EFTR technique as a rescue approach for “difficult” ESD (Fig. 1).