Feasibility of salvage endoscopic mucosal resection by using a cap for remnant rectal carcinoids after primary EMR - 11/08/11
Reprint requests: Jae Hee Cheon, MD, PhD, Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, 250 Seongsanno, Seodaemun-gu, Seoul 120-752, South KoreaRésumé |
Background |
Secondary endoscopic treatment for remnant lesions of rectal carcinoid tumors after primary EMR or polypectomy is technically difficult because of fibrosis of residual tissues. EMR by using a cap (EMR-C), a method to resect the submucosal layer by suction by using a transparent cap, may be feasible as a salvage treatment.
Objective |
To assess the feasibility of salvage EMR-C.
Design |
Retrospective analysis.
Setting |
Tertiary academic health care system.
Patients |
Thirty-one patients who were referred for salvage treatment of a failed en bloc excision of rectal carcinoid tumors after primary EMR or polypectomy between January 2007 and December 2009.
Interventions |
Salvage EMR-C for remnant carcinoid tumors in the rectum.
Main Outcome Measurements |
Rate of complete resection, complications, length of procedure, and recurrence rate.
Results |
The mean age of the patients was 52.0 ± 11.8 years (range 30–78 years). The mean tumor size was 8.9 ± 3.2 mm (range 5.0–13.0 mm). The mean procedure time was 9.1 ± 3.7 minutes, and clear resection margins were pathologically confirmed in all 31 patients. The most common complication of salvage EMR-C was bleeding (7 patients, 22.6%), which was successfully treated by hemoclipping in all cases. The 1-year follow-up colonoscopy and CT results for all patients were negative for recurrence.
Limitations |
Retrospective design and limited cases at a single center.
Conclusions |
EMR-C is a feasible salvage therapeutic option for failed en bloc excision after primary endoscopic treatment of rectal carcinoid tumors.
Le texte complet de cet article est disponible en PDF.Abbreviations : EMR-C, ESD, SD
Plan
| DISCLOSURE: The authors disclosed no financial relationships relevant to this publication. |
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| If you would like to chat with an author of this article, you may contact Dr. Cheon at geniushee@yuhs.ac. |
Vol 73 - N° 5
P. 1009-1014 - mai 2011 Retour au numéro
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