Endoscopic Resection for Small Rectal Neuroendocrine Tumors: Comparison of Endoscopic Submucosal Resection with Band Ligation and Endoscopic Submucosal Dissection
Joint Authors
Bang, Byoung Wook
Park, Jin Seok
Kim, Hyung Kil
Shin, Yong Woon
Kwon, Kye Sook
Kim, Joon Mee
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-25
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background and Aims.
There is no consensus so far regarding the optimal endoscopic method for treatment of small rectal neuroendocrine tumor (NET).
The aim of this study was to compare treatment efficacy, safety, and procedure time between endoscopic submucosal resection with band ligation (ESMR-L) and endoscopic submucosal dissection (ESD).
Methods.
We conducted a prospective study of patients who visited Inha University Hospital for endoscopic resection of rectal NET (≦10 mm).
Pathological complete resection rate, procedure time, and complications were evaluated.
Results.
A total of 77 patients were treated by ESMR-L (n=53) or ESD (n=24).
En bloc resection was achieved in all patients.
A significantly higher pathological complete resection rate was observed in the ESMR-L group (53/53, 100%) than in the ESD group (13/24, 54.2%) (P=0.000).
The procedure time of ESD (17.9±9.1 min) was significantly longer compared to that of ESMR-L (5.3±2.8 min) (P=0.000).
Conclusions.
Considering the clinical efficacy, technical difficulty, and procedure time, the ESMR-L method should be considered as the first-line therapy for the small rectal NET (≤10 mm).
ESD should be left as a second-line treatment for the fibrotic lesion which could not be removed using the ESMR-L method.
American Psychological Association (APA)
Bang, Byoung Wook& Park, Jin Seok& Kim, Hyung Kil& Shin, Yong Woon& Kwon, Kye Sook& Kim, Joon Mee. 2016. Endoscopic Resection for Small Rectal Neuroendocrine Tumors: Comparison of Endoscopic Submucosal Resection with Band Ligation and Endoscopic Submucosal Dissection. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1104733
Modern Language Association (MLA)
Bang, Byoung Wook…[et al.]. Endoscopic Resection for Small Rectal Neuroendocrine Tumors: Comparison of Endoscopic Submucosal Resection with Band Ligation and Endoscopic Submucosal Dissection. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1104733
American Medical Association (AMA)
Bang, Byoung Wook& Park, Jin Seok& Kim, Hyung Kil& Shin, Yong Woon& Kwon, Kye Sook& Kim, Joon Mee. Endoscopic Resection for Small Rectal Neuroendocrine Tumors: Comparison of Endoscopic Submucosal Resection with Band Ligation and Endoscopic Submucosal Dissection. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1104733
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104733