Local Recurrence Rate of Rectal Carcinoid Tumors After Endoscopic Mucosal Resection With Transrectal Ultrasound

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S454
Author(s):  
Chunsu Jiang ◽  
Baiwen Li ◽  
Hui Lou ◽  
Steve Keilin ◽  
Field Willingham ◽  
...  
Keyword(s):  
Local Recurrence ◽  
Endoscopic Mucosal Resection ◽  
Recurrence Rate ◽  
Local Recurrence Rate ◽  
Transrectal Ultrasound ◽  
Carcinoid Tumors ◽  
Rectal Carcinoid ◽  
Mucosal Resection

scholarly journals Investigation of the Local Recurrence Rate after Colorectal Endoscopic Mucosal Resection: Is Incomplete Polyp Resection Really a Clinically Important Problem? Analysis of the Rationale for the “Resect and Discard” Strategy

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Jun Arimoto ◽  
Takuma Higurashi ◽  
Hideyuki Chiba ◽  
Noboru Misawa ◽  
Tsutomu Yoshihara ◽  
...  
Keyword(s):  
Local Recurrence ◽  
Endoscopic Mucosal Resection ◽  
Recurrence Rate ◽  
Local Recurrence Rate ◽  
Positive Margin ◽  
Final Analysis ◽  
Lesion Size ◽  
Problem Analysis ◽  
Mucosal Resection ◽  
Clinical Adoption

Background/Aims. The “Resect and Discard” strategy is a potentially useful strategy. At present, only the lesion size and accuracy of diagnosis are cited as considerations for clinical adoption of this strategy. On the other hand, histopathology of the resected specimens after Endoscopic Mucosal Resection (EMR) reveals often an unclear or positive-margin status, implying Incomplete Polyp Resection (IPR). If IPR indeed increased the risk of local recurrence, histopathological evaluation of the margin would be indispensable and clinical adoption of this strategy is difficult. The aim of this study is to verify the association between IPR and the risk of local recurrence. Methods. The 1872 polyps and 603 EMR cases in 597 patients who had EMR between May 2013 and May 2014 were enrolled. The local recurrence rate until 3 years after the EMR in cases with the target lesions of the “Resect and Discard” strategy was determined in the negative-margin and IPR groups. Results. The final analysis was performed using the data of 1092 polyps, and 222 were categorized into the IPR group. There were no cases of recurrence in either of the groups. Conclusion. This is the world’s first report conducted to examine the correlation of IPR and the local recurrence rate for clinical practice of “Resect and Discard” strategy. There is the possibility that pathological evaluation of the margins after EMR in patients with small polyps can be skipped.

scholarly journals Ligation-assisted endoscopic mucosal resection has high complete resection rate in rectal carcinoid tumor

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ming-Yao Su ◽  
Cheng-Tang Chiu
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Surgical Resection ◽  
Complete Resection ◽  
Carcinoid Tumors ◽  
Rectal Carcinoid ◽  
Resection Rate ◽  
Therapeutic Modalities ◽  
Mucosal Resection ◽  
Complete Resection Rate ◽  
The Mean

Abstract Aim We aimed to compare the outcomes of different therapeutic modalities in rectal carcinoid tumors. Method We retrospectively collected 145 patients with rectal carcinoid tumors which were pathologically diagnosed from 2005/01/01 to 2016/12/31. We compared tumor size, complete resection rate and recurrent rate between different therapeutic modalities. Then, prospectively compared the treatment outcomes of 28 patients treated with ligation assisted endoscopic mucosal resection (LEMR) and 25 patients treated with endoscopic mucosal resection with cap (EMRC). Result The mean size of tumors was 6.5 mm (1–25 mm), and the mean follow-up duration was 26 months (6–118 months). The therapeutic modalities included ligation-assisted endoscopic mucosal resection (LEMR) (25 tumors, 17%), endoscopic mucosal resection (EMR) (31 tumors, 21%), snare polypectomy (30 tumors, 21%), biopsy forceps removal (46 tumors, 32%) and surgical resection (13 tumors, 11%), including 6 tumors treated with transanal endoscopic microsurgery (TEM) method. In view of pathologically complete resection rate, LEMR was highest (100%), followed by surgical resection (85%). However, EMR only had 42% pathologically complete resection rate. Besides, LEMR and surgical resection had no local recurrence and significantly higher clinically complete resection rate, compared to other treatments. For the further prospective study, complete resection was noted in 28 (100%) patients in LEMR group and 13 (52%) patients in EMRC group. Conclusion In the treatment of rectal carcinoid tumors, LEMR is safe and effective compared with traditional endoscopic treatments.

scholarly journals Ligation-Assisted Endoscopic Mucosal Resection Has High Complete Resection Rate in Rectal Carcinoid Tumor

2021 ◽  
Author(s):  
Ming-Yao Su ◽  
Cheng-Tang Chiu
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Surgical Resection ◽  
Complete Resection ◽  
Carcinoid Tumors ◽  
Rectal Carcinoid ◽  
Resection Rate ◽  
Therapeutic Modalities ◽  
Mucosal Resection ◽  
Complete Resection Rate ◽  
The Mean

Abstract Aim: We aimed to compare the outcomes of different therapeutic modalities in rectal carcinoid tumors. Method: We retrospectively collected 145 patients with rectal carcinoid tumors which were pathologically diagnosed from 2005/01/01 to 2016/12/31. We compared tumor size, complete resection rate and recurrent rate between different therapeutic modalities. Then, prospectively compared the treatment outcmes of 28 patients treated with ligation assisted endoscopic mucosal resection (LEMR) and 25 patients treated with endoscopic mucosal resection with cap (EMRC). Result: The mean size of tumors was 6.5mm (1-25mm), and the mean follow-up duration was 26 months (6-118 months). The therapeutic modalities included ligation-assisted endoscopic mucosal resection (LEMR) (25 tumors, 17%), endoscopic mucosal resection (EMR) (31 tumors, 21%), snare polypectomy (30 tumors, 21%), biopsy forceps removal (46 tumors, 32%) and surgical resection (13 tumors, 11%), including 6 tumors treated with transanal endoscopic microsurgery (TEM) method. In view of pathologically complete resection rate, LEMR was highest (100%), followed by surgical resection (85%). However, EMR only had 42% pathologically complete resection rate. Besides, LEMR and surgical resection had no local recurrence and significantly higher clinically complete resection rate, compared to other treatments. For the further prospective study, complete resection were noted in 28 (100%) patients in LEMR group and 13 (52%) patients in EMRC group. Conclusion: In the treatment of rectal carcinoid tumors, LEMR is safe and effective compared with traditional endoscopic treatments.

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