Endoscopic Full-Thickness Resection (EFTR) – A Modern Approach to GI Lesion Removal

Introduction to EFTR

Endoscopic Full-Thickness Resection (EFTR) is an advanced therapeutic endoscopic technique used to remove deep or complex gastrointestinal (GI) lesions. Unlike traditional endoscopic procedures, EFTR allows complete resection of all layers of the GI wall, ensuring precise removal of tumors or polyps. It has become an important alternative to surgery for select patients.

Technique of EFTR

The procedure is performed with a flexible endoscope fitted with specialized EFTR devices. The lesion is identified and marked, followed by tissue grasping and resection through the full thickness of the GI wall. An over-the-scope clip or closure device is then applied to seal the defect, preventing complications. EFTR is particularly valuable for lesions not suitable for standard EMR or ESD techniques.

Medical Reasons for the Surgery

• To remove non-lifting or fibrotic polyps.
• For treatment of subepithelial tumors.
• In cases of early-stage gastrointestinal cancer.
• When standard EMR or ESD cannot achieve complete resection.

Medical Products required for Surgery

• Gastroscope / Colonoscope
• Endoscopic  Resection Device
• Endoscopic Marking Probe
• Endoscopic Grasper Forceps
• Endoscopic Snare
• Over-the-Scope Clip (OTSC) System
• Electrosurgical Unit
• Endoscopic Retrieval Net
• Endoscopic Light Source & Camera
• Endoscopic Suction & Irrigation Pump

Top Countries Performing EFTR

• Germany
• Japan
• United States
• South Korea
• China

Advantages of Surgery

• Enables complete removal of deep or complex GI lesions.
• Minimally invasive alternative to surgical resection.
• Organ-preserving treatment with reduced recovery time.
• High diagnostic accuracy through full-thickness tissue sampling.
• Effective for non-lifting or scarred lesions not suitable for other methods.

Future Outlook of EFTR

EFTR continues to evolve with innovations in device design and closure techniques. As more gastroenterologists receive advanced training, its global adoption is expected to grow, offering patients a safe and less invasive solution for complex GI lesions.

Advin Health Care offers a comprehensive range of endoscopy products and accessories that support EFTR procedures, contributing to improved safety and clinical outcomes worldwide.

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+91-75037 27250 | gastrology@advinhealthcare.com | www.advinhealthcare.com