Systematic Resection of the Visible Scar After Incomplete Endoscopic Resection of Rectal Neuroendocrine Tumors

被引：13

作者：

Cheminel, Loic ^{[1
]}

Lupu, Alexandru ^{[1
]}

Wallenhorst, Timothee ^{[2
]}

Lepilliez, Vincent ^{[3
]}

Leblanc, Sarah ^{[3
]}

Albouys, Jeremie ^{[4
]}

Abou Ali, Einas ^{[5
]}

Barret, Maximilien ^{[5
]}

Lorenzo, Diane ^{[6
]}

De Mestier, Louis ^{[6
]}

Burtin, Pascal ^{[7
]}

Girot, Paul ^{[8
]}

Le Baleur, Yann ^{[9
]}

Gerard, Romain ^{[10
]}

Yzet, Clara ^{[1
]}

Tchirikhtchian, Karl ^{[11
]}

Degand, Thibault ^{[12
]}

Culetto, Adrian ^{[13
]}

Lemmers, Arnaud ^{[14
]}

Schaefer, Marion ^{[15
]}

Chevaux, Jean-Baptiste ^{[15
]}

Zhong, Peng ^{[16
]}

Hervieu, Valerie ^{[17
]}

Subtil, Fabien ^{[18
,19
]}

Rivory, Jerome ^{[1
]}

Fine, Caroline ^{[20
]}

Jacques, Jeremie ^{[4
]}

Walter, Thomas ^{[21
]}

Pioche, Mathieu ^{[1
]}

机构：

[1] Hop Edouard Herriot, Endoscopy & Gastroenterol Unit, Hosp Civils Lyon, Pavillon L, Lyon, France

[2] Rennes Univ Hosp, Pontchaillou Hosp, Dept Endoscopy & Gastroenterol, Rennes, France

[3] Jean Mermoz Private Hosp, Dept Endoscopy & Gastroenterol, Lyon, France

[4] Dupuytren Univ Hosp, Dept Endoscopy & Gastroenterol, Limoges, France

[5] Cochin Hosp, APHP, Dept Endoscopy & Gastroenterol, Paris, France

[6] Beaujon Hosp, APHP, Dept Endoscopy & Gastroenterol, Paris, France

[7] Gustave Roussy Oncol Inst, Digest Endoscopy Unit, Villejuif, France

[8] Loire Vendeee Ocean Hosp, Dept Oncol, La Roche Sur Yon, France

[9] Paris St joseph Hosp, Dept Gastroenterol, Digest Endoscopy Unit, Paris, France

[10] Lille Univ Hosp, Claude Huriez Hosp, Dept Digest Dis, Lille, France

[11] Bezannes Polyclin, Endoscopy Unit, Bezannes, France

[12] Dijon Univ Hosp, Dept Endoscopy & Gastroenterol, Dijon, France

[13] Rangueil Univ Hosp, Dept Gastroenterol & Pancreatol, Toulouse, France

[14] CUB Erasme Hosp, Dept Gastroenterol Hepatopancreatol & Digest Oncol, Brussels, Belgium

[15] Brabois Hosp, Endoscopy & Gastroenterol Unit, Nancy, France

[16] Besancon Reg Univ Hosp, Dept Endoscopy & Gastroenterol, Besancon, France

[17] Hosp Civils Lyon, Histol Dept, Lyon, France

[18] Hosp Civils Lyon, Serv Biostat, Lyon, France

[19] Univ Lyon, CNRS, Lab Biometrie & Biol Evolut UMR 5558, Villeurbanne, France

[20] Croix Rousse Hosp, Dept Endoscopy & Gastroenterol, Hosp Civils Lyon, Lyon, France

[21] Hop Edouard Herriot, Dept Med Oncol, Hosp Civils Lyon, Pavillon E, Lyon, France

来源：

AMERICAN JOURNAL OF GASTROENTEROLOGY | 2024年 / 119卷 / 02期

关键词：

rectal neuroendocrine tumors; incomplete resection; scar revision; salvage endoscopic resection; CONSENSUS GUIDELINES; MANAGEMENT; DIAGNOSIS;

D O I：

10.14309/ajg.0000000000002516

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

INTRODUCTION:When initial resection of rectal neuroendocrine tumors (r-NETs) is not R0, persistence of local residue could lead to disease recurrence. This study aimed to evaluate the interest of systematic resection of non-R0 r-NET scars.METHODS:Retrospective analysis of all the consecutive endoscopic revisions and resections of the scar after non-R0 resections of r-NETs.RESULTS:A total of 100 patients were included. Salvage endoscopic procedure using endoscopic submucosal dissection or endoscopic full-thickness resection showed an R0 rate of near 100%. Residual r-NET was found in 43% of cases.DISCUSSION:In case of non-R0 resected r-NET, systematic scar resection by endoscopic full-thickness resection or endoscopic submucosal dissection seems necessary.

引用

页码：378 / 381

页数：4

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