{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:36:32Z","timestamp":1792290992767,"version":"4.4.0"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1616","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: The full-thickness resection device (FTRD) offers an innovative treatment approach for lesions unsuitable for traditional\nendoscopic resection. This study evaluates FTRD\u2019s safety and efficacy for resection of upper and lower gastrointestinal tract lesions in\nNew Zealand, where data are currently lacking.\nmethod: This multicentre retrospective study included patients who underwent FTRD at Middlemore Hospital and North Shore Hospital\nbetween 1 January 2017 and 30 April 2023. Histology and post-procedural complications up to 30 days were collated. Ethics approval\nand locality assessment were granted.\nresults: A total of 51 patients\u201418 males (35%) and 33 (65%) females\u2014with a mean age of 63.5 years were included. Five lesions were\nupper gastrointestinal (four gastric body; one duodenal) and 46 were colonic cases (20 appendiceal orifice lesions; five caecal; four\nfrom hepatic flexure; two each at sigmoid, ascending and transverse colon; one descending colon and 10 from the rectum). Technically\nsuccessful FTRD deployment was achieved in 86% (n=44), with negative histological margins (R0 resection) seen in 82% (n=31). Thirteen\npatients were excluded from this calculation, as histological clearance was not applicable. Procedure-related complications occurred\nin 12% (n=6): there were three appendicitis cases; one experienced delayed bleeding requiring blood transfusion and endoscopic\nmanagement; and two experienced technical complications (one snare entrapment and one clip entrapment).\nconclusion: This study demonstrates our experience with FTRD in New Zealand with technical success and R0 resection rates\nsimilar to the published literature. There is a considerable adverse event rate that requires careful patient discussion and consent prior\nto selection of this procedure.<\/jats:p>","DOI":"10.26635\/6965.6893","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T21:57:31Z","timestamp":1749074251000},"page":"43-49","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic full-thickness resection using full-thickness resection device for treatment of upper and lower gastrointestinal tract lesions\u2014the first New Zealand study"],"prefix":"10.26635","volume":"138","author":[{"given":"Sharon","family":"Yiu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Horsfall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravinder","family":"Ogra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Schauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anurag","family":"Sekra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11177","published-online":{"date-parts":[[2025,6,6]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T21:57:33Z","timestamp":1749074253000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-138-no-1616\/endoscopic-full-thickness-resection-using-full-thickness-resection-device-for-treatment-of-upper-and-lower-gastrointestinal-trac"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,6]]},"references-count":0,"journal-issue":{"issue":"1616","published-online":{"date-parts":[[2025,6,6]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.6893","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,6]]}}}