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Shishin K.V.

Loginov Moscow Clinical Scientific Center

Nedoluzhko I.Yu.

Loginov Moscow Clinical Research Center

Grishina E.A.

Loginov Moscow Clinical Research Center

Pavlov I.A.

Loginov Moscow Clinical Research Center

Pyatakova A.V.

Loginov Moscow Clinical Research Center

Experience in using full thickness resection of a section of the intestinal wall using the FTRD system in various parts of the gastrointestinal tract

Authors:

Shishin K.V., Nedoluzhko I.Yu., Grishina E.A., Pavlov I.A., Pyatakova A.V.

More about the authors

Journal: Endoscopic Surgery. 2025;31(4): 19‑24

DOI: 10.17116/endoskop20253104119

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Table of contents

EXPERIENCE IN USING FULL THICKNESS RESECTION OF A SECTION OF THE INTESTINAL WALL USING THE FTRD SYSTEM IN VARIOUS PARTS OF THE GASTROINTESTINAL TRACT
EXPERIENCE IN USING FULL THICKNESS RESECTION OF A SECTION OF THE INTESTINAL WALL USING THE FTRD SYSTEM IN VARIOUS PARTS OF THE GASTROINTESTINAL TRACT

To cite this article:

Shishin KV, Nedoluzhko IYu, Grishina EA, Pavlov IA, Pyatakova AV. Experience in using full thickness resection of a section of the intestinal wall using the FTRD system in various parts of the gastrointestinal tract. Endoscopic Surgery. 2025;31(4):19‑24. (In Russ.)
https://doi.org/10.17116/endoskop20253104119

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

BACKGROUND

Endoscopic full thickness resection of gastrointestinal tract wall in case of epithelial and subepithelial neoplasms using the full thickness resection device (FTRD) system is a relatively new and effective treatment method in the presence of an increased risk of intraoperative complications.

OBJECTIVE

To evaluate the effectiveness and safety of the FTRD system for endoscopic full thickness resection of the gastrointestinal tract wall in epithelial and subepithelial neoplasms.

MATERIAL AND METHODS

From 2019 to 2024, 10 full thickness resections using the FTRD system were performed in Loginov Moscow Clinical Scientific Center in 9 patients. There were 4 men and 5 women. Indications for surgery were epithelial neoplasms of the colon in 7 cases, 1 intervention was performed for a submucosal neoplasm in the rectum and 2 were performed for epithelial neoplasms of the duodenum. In 7 patients, it was performed for recurrent neoplasms after previously performed mucosal resection, one of them required repeated full thickness resection due to incomplete removal of the tumor at the first stage. In 2 patients, primary intervention was performed to remove tumors in the area of the appendix and submucosal neoplasm of the rectum.

RESULTS

The technical success of the intervention and R0 resection was achieved in 9 cases. One patient required repeated full thickness resection for 3 months. There were no intraoperative complications. Bleeding from the site of duodenal resection was detected in 1 patient on the second day after surgery, it was treated by coagulation under local anesthesia (Clavien—Dindo IIIA).

CONCLUSION

The technique of endoscopic full thickness resection of various parts of the wall of gastrointestinal tract using the FTRD system is an effective method for removing tumors with high risks of intraoperative complications when performing traditional endoscopic mucosal resection methods.

Keywords:

endoscopy
full thickness resection
FTRD
epithelial neoplasms
subepithelial neoplasms

Authors:

Shishin K.V.

Loginov Moscow Clinical Scientific Center

Nedoluzhko I.Yu.

Loginov Moscow Clinical Research Center

Grishina E.A.

Loginov Moscow Clinical Research Center

Pavlov I.A.

Loginov Moscow Clinical Research Center

Pyatakova A.V.

Loginov Moscow Clinical Research Center

Received:

04.10.2024

Accepted:

22.11.2024

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