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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 585 - 591 (7page)
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Background/Aims: Endoscopic resection is the first-line treatment for rectal neuroendocrine tumors (NETs) measuring <1 cm and those between 1 and 2 cm in size. However, conventional endoscopic resection cannot achieve complete resection in all cases. We aimed to analyze clinical outcomes of precut endoscopic mucosal resection (EMR-P) used for the management of rectal NET.
Methods: EMR-P was used to treat rectal NET in 72 patients at a single tertiary center between 2011 and 2015. Both, circumferential precutting and EMR were performed with the same snare device in all patients. Demographics, procedural details, and histopathological features were reviewed for all cases.
Results: Mean size of the tumor measured endoscopically was 6.8±2.8 mm. En bloc and complete resection was achieved in 71 (98.6%) and 67 patients (93.1%), respectively. The mean time required for resection was 9.0±5.6 min. Immediate and delayed bleeding developed in six (8.3%) and 4 patients (5.6%), respectively. Immediate bleeding observed during EMR-P was associated with the risk of delayed bleeding.
Conclusions: Both, the en bloc and complete resection rates of EMR-P in the treatment of rectal NETs using the same snare for precutting and EMR were noted to be high. The procedure was short and safe. EMR-P may be a good treatment choice for the management of rectal NETs.
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참고문헌 (19)
참고문헌 신청
Burgess NG / 2014 / Risk factors for intraprocedural and clinically significant delayed bleeding after wide-field endoscopic mucosal resection of large colonic lesions / Cli
Caplin M / 2012 / ENETS consensus guidelines for the management of patients with digestive neuroendocrine neoplasms:colorectal neuroendocrine neoplasms / Neuroendocrinology 9
Cheung DY / 2015 / Circumferential submucosal incision prior to endoscopic mucosal resection provides comparable clinical outcomes to submucosal dissection for well-differen
Choi HH / 2013 / Which endoscopic treatment is the best for small rectal carcinoid tumors? / World J Gastrointest Endosc 5 : 487 ~ 494
Hauso O / 2008 / Neuroendocrine tumor epidemiology:contrasting Norway and North America / Cancer 113 : 2655 ~ 2664
Caplin M / 2012 / ENETS consensus guidelines for the management of patients with digestive neuroendocrine neoplasms:colorectal neuroendocrine neoplasms / Neuroendocrinology 9
Cheung DY / 2015 / Circumferential submucosal incision prior to endoscopic mucosal resection provides comparable clinical outcomes to submucosal dissection for well-differen
Choi HH / 2013 / Which endoscopic treatment is the best for small rectal carcinoid tumors? / World J Gastrointest Endosc 5 : 487 ~ 494
Hauso O / 2008 / Neuroendocrine tumor epidemiology:contrasting Norway and North America / Cancer 113 : 2655 ~ 2664
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