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The concept of natural orifice transluminal endoscopic surgery (NOTES) (1) has evolved to endoscopic full thickness resection (EFTR). It represents innovation in technique that allows endoscopists to advance further into the endoscopic surgical space. EFTR has transformed the ability to tackle subepithelial tumors (SETs) and early mucosal neoplasm that are not amenable to classic ESD technique, enhance the staging accuracies for marginal lesions, and even increase the diagnostic capabilities for infiltrative disorders. Thus far, multiple methods have been described to perform EFTR, including nonexposed and exposed techniques, with the closure occuring before resection or after resection, respectively (2). Early comparative studies show no difference between the two methods (3). However, the procedures themselves are limited by the current tools available and by described techniques to achieve resection.
Investigators are described here a novel non-exposed technique, with closure before resection, using the Endomina device.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Suturing system with suture apposition then bulging formation then cutting the lesion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endomina | Device | Suturing system with sutures apposition then bulging then cutting |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of all Adverse Device Effects | Safety will be characterized by the incidence of all Adverse Device Effects | one year from procedure |
| Measure | Description | Time Frame |
|---|---|---|
| R0 resection | R0 resection at histology | 1 month after resection |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gastroenterology Department Erasme Hospital | Brussels | 1070 | Belgium |
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