Endoscopische ‘full-thickness’-resectie van colorectale poliepen

With the introduction of a national screening program for colorectal cancer, an increasing number of colorectal neoplasias, including low-risk T1-carcinomas, is identified and resected endoscopically. Existing techniques for endoscopic resection do not always suffice. Currently, surgery is the only available option in these cases. Endoscopic full-thickness resection (eFTR) is a minimally invasive alternative to surgery for resection of non-lifting adenomas, adenomas in difficult-to-reach locations – such as the diverticulum – and for ensuring radical endoscopic resection in T1-carcinomas. The first results of research involving this new technique are promising. Prospective studies comparing the efficacy and safety of eFTR versus surgical resection are indicated.

Conflict of interest and financial support: none declared.