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    The content on this page is not current guidance and is only for the purposes of the consultation process.

    1 Introduction – procedure description

    Gastrointestinal stromal tumours are a type of cancer that can develop in the wall of the digestive tract, usually in the stomach or small bowel. In this procedure, an endoscope (a thin, flexible tube with a camera on the end) is inserted through the mouth into the stomach. The tumour is pulled up into the tube using forceps (tongs). A clip is released and a snare is then placed over the tumour. The snare cuts out the tumour and some surrounding tissue (full thickness) and the clip is left in place, to close the hole in the stomach. The aim is to remove the tumour without the need for open surgery.

    NICE is looking at endoscopic full thickness removal of gastrointestinal stromal tumours of the stomach.

    NICE's interventional procedures advisory committee met to consider the evidence and the opinions of professional experts, who are consultants with knowledge of the procedure.

    This document contains the draft guidance for consultation. Your views are welcome, particularly:

    • comments on the draft recommendations

    • information about factual inaccuracies

    • additional relevant evidence, with references if possible.

    NICE is committed to promoting equality of opportunity, eliminating unlawful discrimination and fostering good relations between people with particular protected characteristics and others.

    This is not NICE's final guidance on this procedure. The draft guidance may change after this consultation.

    After consultation ends, the committee will:

    • meet again to consider the consultation comments, review the evidence and make appropriate changes to the draft guidance

    • prepare a second draft, which will go through a resolution process before the final guidance is agreed.

    Please note that we reserve the right to summarise and edit comments received during consultation or not to publish them at all if, in the reasonable opinion of NICE, there are a lot of comments or if publishing the comments would be unlawful or otherwise inappropriate.

    Closing date for comments: 18 November 2021

    Target date for publication of guidance: February 2022