KMID : 0988920160140020164
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Intestinal Research 2016 Volume.14 No. 2 p.164 ~ p.171
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Usefulness of endoscopic resection using the band ligation method for rectal neuroendocrine tumors
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Kim Ju-Seung
Kim Yoon-Jae Chung Jun-Won Kim Jung-Ho Kim Kyoung-Oh Kwon Kwang-An Park Dong-Kyun An Jung-Suk
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Abstract
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Background/Aims: Rectal neuroendocrine tumors (NETs) are among the most common of gastrointestinal NETs. Due to recent advances in endoscopy, various methods of complete endoscopic resection have been introduced for small (¡Â10 mm) rectal NETs. However, there is a debate about the optimal treatment for rectal NETs. In our study, we aimed to evaluate the efficacy and feasibility of endoscopic resection using pneumoband and elastic band (ER-BL) for rectal NETs smaller than 10 mm in diameter.
Methods: A total of 55 patients who were diagnosed with rectal NET from January 2004 to December 2011 at Gil Medical Center were analyzed retrospectively. Sixteen patients underwent ER-BL. For comparison, 39 patients underwent conventional endoscopic mucosal resection (EMR).
Results: There was a markedly lower deep margin positive rate for ER-BL than for conventional EMR (6% [1/16] vs. 46% [18/39], P=0.029). Four patients who underwent conventional EMR experienced perforation or bleeding. However, they recovered within a few days. On the other hand, patients whounderwent endoscopic resection using a pneumoband did not experience any complications. In multivariate analysis, ER-BL (P=0.021) was independently associated with complete resection.
Conclusions: ER-BL is an effective endoscopic treatment with regards to deep margin resection for rectal NET smaller than 10 mm. (Intest Res 2016;14:164-171)
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KEYWORD
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Neuroendocrine tumors, Rectum, Pneumoband, Elastic band, Endoscopic mucosal resection
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