VOLUME 40 - NUMBER 6 - 2019

Efficacy and safety of full-thickness resection device based on over-the-scope clip system for resecting of gastric lesions in selected patients. Case series from a referral center for gastrointestinal diseases treatment and literature overview

  • Bisogni D., Manetti R., Talamucci L., Staderini F., Coratti F., Rossi M., Naspetti R.
  • Original Article, 569-577
  • Full text PDF

  • Since gastroduodenal FTRD system is commercially available, several data have been reported in Literature concerning duodenal full-thickness resections, whereas few cases of gastric full-thickness resections has been described. In this case series We report three patients treated with this innovative tool for resecting lesions of the gastric wall. The indications ranged notably: a neuroendocrine tumor in a difficult to treat environment in the first case, a recurrent adenocarcinoma in a poorly surgical candidate patient in the second case and a pre-pyloric lesion for the third patient. In the third patient, a complete pyloric stenosis due to the clip deployment occurred. Clinical success rate was 100%. Even if current Literature is still poor of articles dealing with gastric full-thickness resection device based on over-the-scope-clip system. Our case series show how this novel tool might be take into consideration for whenever both surgery and standard endoscopic resection techniques are poorly feasible.

  • KEY WORDS: Gastric lesions - Full-Thickness resection device - Over-The-Scope-Clip - Complete pyloric stenosis - Case series.