ASGE DDW Videos from Around the World | 2022-DOUBLE ENDOSCOPIC FULL-THICKNESS RESECTION OF METASTATIC COLORECTAL MELANOMA LESIONS USING THE FTRD SYSTEM

DOUBLE ENDOSCOPIC FULL-THICKNESS RESECTION OF METASTATIC COLORECTAL MELANOMA LESIONS USING THE FTRD SYSTEM

Video Transcription

Video Summary

The video discusses the use of endoscopic full thickness resection (FTRD) as a potential approach in challenging situations, particularly lesions in the lower gastrointestinal (GI) tract. The FTRD system is a tool used for full thickness resection and diagnostic tissue acquisition. The case presented involves a 65-year-old male with a history of metastatic melanoma of the rectum, who underwent endoscopic evaluation for a metastatic lesion in the colon. The FTRD technique is utilized for resection and retrieval of two lesions found in the descending colon and rectosigmoid colon. The final pathology report confirms both masses as metastatic melanoma. The endoscopic full thickness resection is seen as a safe alternative to surgery or after failed endoscopic resection, especially in recurrent colorectal neoplasms. Frozen sections and biopsies are recommended for assessing margins and ensuring complete tumor removal.

Keywords

endoscopic full thickness resection

FTRD

lower gastrointestinal tract

metastatic melanoma

colorectal neoplasms