NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status In progress
Process IP
ID number 1837
Description This procedure uses a FTRD, which allow EFTR with a single-step clip-and-cut technique. For example, one device comprises a modified snare to remove the tumour and deeper layers of the stomach wall, and a clasp device that closes the full thickness of the stomach wall. The device is attached to the end of an endoscope and advanced through the mouth and the oesophagus to the stomach. Gradual dilation may be needed to help the device pass through the upper and lower oesophageal sphincters. The tumour is grasped at its centre and slowly pulled into the cap of the device completely. A clip is released, closing the site of a potential defect in the stomach wall. A snare simultaneously encloses the tumour and cuts it away, then it is retrieved for histological analysis. After the tumour is removed, the endoscope is re-inserted and the surgical site is examined for signs of haemorrhage and to check that the clip has closed the stomach wall. The procedure is usually done with the patient under sedation, but sometimes general anaesthesia is needed.

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Timeline

Key events during the development of the guidance:

Date Update
21 October 2021 - 18 November 2021 Interventional procedure consultation

For further information on how we develop guidance, please see our page about NICE interventional procedures guidance