• 2016
  • 2016

December 2016 | Experience with the FTRD System in Halle, Germany: FTRD broadens endoscopic therapeutic spectrum...

The 25th annual meeting of the Society for Internal Medicine in Sachsen-Anhalt (25. Jahrestagung der Gesellschaft für Innere Medizin Sachsen-Anhalt) took place on November 18-19, 2016 in Halle (Saale), Germany. Ohse C et al., hospital Martha-Maria Halle-Doelau, Germany, presented in a poster their experience with the FTRD device. This poster received the Poster Champ Award at the meeting.

The FTRD System is used at the hospital since January 2015. Until October 2016, 31 endoscopic full-thickness resections with the FTRD in 30 patients were performed. Indications were: non-lifting adenoma (n=9), subepithelial tumor (n=7), adenoma at appendiceal orifice (n=1), adenoma at appendiceal orifice after Stapler-appendectomy (n=1), hybrid EMR-EFTR in large adenoma with non-lifting parts (n=2), follow-up resection of a carcinoma in situ after piece-meal-EMR (n=1), Tis-carcinoma (n=2), T1sm1 carcinoma (n=2), T1sm2 carcinoma (n=1), T1sm3 carcinoma (n=3), T2 carcinoma (n=2). The lesions were located in the rectum (n=10), sigmoidal colon (n=3), left flexure (n=2), transverse colon (n=3), right flexure (n=3), ascendant colon (n=4), and cecum (n=6). The median size of the resected specimen was 19 mm (range 13-35 mm).

Resection of the lesions with the FTRD succeeded in 100% (31/31). En-bloc-R0-resection was achieved in 94% (29/31). One patient (3.2%) suffered a post-polypectomy syndrome after resection of an adenoma at the appendiceal orifice, this complication could be managed conservatively. No other complications occurred. In 5 patients, correct oncological follow-up resection was undertaken due to the T-stage (3xT1sm3, 2xT2). During 3-months follow-up, which could be carried out in 26 patients, a relapse adenoma was found in one patient and treated with a second EFTR.

The authors concluded that EFTR with the FTRD System broadens the therapeutic spectrum of lesions in the lower gastrointestinal tract and helps to avoid surgery in selected patients.

Endoskopische Vollwandresektion (EFTR - 'endoscopic full-thickness resection') mit dem FTRD-System (Full-Thickness-Resection-Device): Dölauer Daten

Ohse, Geelhaar H, Hopf K, Buchmann J, Krummenerl P (2016)

Poster auf der Tagung der Gesellschaft für Innere Medizin Sachsen-Anhalt, 18/19.11.16 in Halle (Saale)

OTSC research & clinical trials update

Link to OTSC research & clinical trials update which states all publications with an abstract.
     Version 22 is sorted by indications. (Letter format)
     Version 21 is sorted by date. (Letter format)