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How to fill out modified endoscopic full-thickness resection

How to fill out modified endoscopic full-thickness resection

1. Step 1: Begin by selecting the appropriate endoscopic full-thickness resection (EFTR) device and ensuring it is sterilized and in good condition.
2. Step 2: Administer anesthesia to the patient, ensuring they are comfortable and adequately sedated throughout the procedure.
3. Step 3: Insert the endoscope into the patient's body through a natural orifice or a small incision.
4. Step 4: Identify the target area for resection using the endoscope's imaging capabilities.
5. Step 5: Use the EFTR device to create a mucosal incision around the target area.
6. Step 6: Extend the incision to the muscular layer using electrocautery or other cutting tools.
7. Step 7: Fill the incision site with a suitable filling material, such as fibrin glue or an over-the-counter tissue adhesive, to prevent leakage or perforation.
8. Step 8: Close the incision site using endoscopic clips or sutures, ensuring proper hemostasis.
9. Step 9: Remove the EFTR device and endoscope from the patient's body, taking care to minimize trauma or damage.
10. Step 10: Monitor the patient closely post-procedure and provide appropriate follow-up care to ensure proper healing and recovery.

Who needs modified endoscopic full-thickness resection?

1. Modified endoscopic full-thickness resection is generally indicated for patients with gastrointestinal conditions that require the removal of abnormal or precancerous tissue.
2. Specific indications for this procedure may include the treatment of early-stage stomach or colon cancers, removal of large polyps that cannot be resected by other means, or the management of certain gastrointestinal tumors.
3. Patients with contraindications to surgery or those who prefer a minimally invasive approach may also be candidates for modified endoscopic full-thickness resection.
4. However, the decision to perform this procedure should be made by a qualified gastroenterologist or surgeon after careful evaluation of the patient's condition and medical history.

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