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    Endoscopic Full Thickness Resection

    Endoscopic full thickness resection is a minimally invasive method for eliminating benign or cancerous tumours from the gastrointestinal tract. It involves utilising an endoscope, which is a flexible tube-like device.

    It is termed a “full thickness” resection due to its ability to excise tissue from the inner lining of the digestive tract, extending through to the outermost layer. This feature renders it valuable for eliminating lesions situated in challenging locations or those exceeding the scope of traditional endoscopic methods.

    At Apollo Hospitals in Jubilee Hills, Hyderabad, our expert gastroenterologists offer advanced endoscopic full thickness resection for diagnosing various gastrointestinal conditions.

    When Is Endoscopic Full Thickness Resection Advised?

    Endoscopic full thickness resection has demonstrated safety and efficacy as a viable substitute for surgical resection in specific gastrointestinal lesions. It is often indicated when:

    • Abnormal tissue or lesions are detected within the digestive tract
    • Conventional endoscopic methods are deemed unsuitable
    • Surgery is not considered an appropriate course of action
    • The abnormality is situated in a challenging location or is too large or intricate for traditional endoscopic removal techniques

    Types of Endoscopic Full Thickness Resection

    • Tunneled and Non-Tunneled:

    The tunnelled approach, also known as submucosal tunnelling endoscopic resection, may be employed by your doctor for growth removal in the oesophagus or at the oesophagus-stomach junction. This technique preserves the mucosal layer, minimising the risks of leaks, infection, or scarring, while offering potential benefits such as reduced discomfort, blood loss, and shorter hospital stays.

    • Exposed and Non-Exposed:

    In tumour removal, two main approaches are used: exposed and non-exposed. The exposed method involves extracting the tumour first and then closing the opening. In contrast, the non-exposed technique pinches off the tumour with a staple or clip, ensuring closure before removal.

    • Clip-Assisted Endoscopic Full Thickness Resection:

    This procedure eliminates the lesion from the gastrointestinal tract wall and places a metal clip to seal the area where the tumour was extracted, which remains within your body.

    • Standard Endoscopic Full Thickness Resection: 

    Following the removal of the lesion, physicians use the endoscope to suture the defect closed.

    Procedure for Endoscopic Full Thickness Resection

    • An IV will be inserted into the vein to administer a sedative to ensure pain relief.
    • A high-definition endoscope will be passed through either the mouth or anus.
    • Doctors will visualise the images of your gastrointestinal tract’s interior on a screen.
    • Following this, they will identify and mark the tumour edges with a tool inserted through the endoscope.
    • One of the surgical endoscopic full thickness resection techniques will be utilised to isolate, extract, and close the remaining opening around the tumour.
    • The tumour tissue will be precisely excised and extracted through the endoscope.

    Best Gastroenterology Doctors in Jubilee Hills

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    Dr. Raghu D K

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    ➢ Partial removal of a cancerous lesion ➢ Diverticular inflammation ➢ Perforation ➢ Haemorrhage ➢ Infection

    It usually takes 7-8 days for recovery after the procedure, you can still find some mild complications post-recovery which include: ➢ Chest tightness or discomfort ➢ Mild discomfort with eating, especially hot or solid foods ➢ Chewing food thoroughly before swallowing can alleviate these symptoms ➢ Soluble paracetamol or co-codamol can be used as needed for discomfort ➢ Anti-sickness medicine can be utilised if experiencing nausea or vomiting
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