Endoscopic full thickness removal of gastrointestinal stromal tumours of the stomach
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4 Committee considerations
The evidence
4.1 NICE did a rapid review of the published literature on the efficacy and safety of this procedure. This comprised a comprehensive literature search and detailed review of the evidence from 3 sources, which was discussed by the committee. The evidence included 1 case series and 2 case reports. It is presented in the summary of key evidence section in the interventional procedures overview. Other relevant literature is in the appendix of the overview.
4.2 The professional experts and the committee considered the key efficacy outcomes to be complete resection of the tumour and less need for further procedures.
4.3 The professional experts and the committee considered the key safety outcomes to be bleeding, perforation and incomplete resection.
4.4 One patient organisation submission was received and discussed by the committee. Patient commentary was sought but none was received.
Committee comments
4.5 The committee was informed that this procedure is used for tumours that are under 15 mm in size.
4.6 This procedure is used for curative resection of gastrointestinal stromal tumours and for diagnosis.
4.7 This procedure is used for conditions other than gastrointestinal stromal tumours.
Tom Clutton-Brock
Chair, interventional procedures advisory committee
October 2021
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