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01-06-2010

Endoscopic submucosal dissection and preoperative assessment with endoscopic ultrasonography for the treatment of rectal carcinoid tumors

Authors: Naoki Ishii, Noriyuki Horiki, Toshiyuki Itoh, Masataka Maruyama, Michitaka Matsuda, Takeshi Setoyama, Shoko Suzuki, Shino Uchida, Masayo Uemura, Yusuke Iizuka, Katsuyuki Fukuda, Koyu Suzuki, Yoshiyuki Fujita

Published in: Surgical Endoscopy | Issue 6/2010

Abstract

Background

Rectal carcinoid tumors 10 mm in diameter or smaller located within the submucosal layer can be cured by local excision including endoscopic treatment. But complete resection of these tumors with endoscopic polypectomy is difficult. This study aimed to evaluate the usefulness of endoscopic submucosal dissection (ESD) and endoscopic ultrasonography (EUS) for the treatment of rectal carcinoid tumors.

Methods

In this study, 22 rectal carcinoid tumors in 21 patients were evaluated with EUS and treated using ESD from January 2004 to December 2008.

Results

The mean size of the resected tumors was 6.1 mm (range, 2.0–10 mm) on histopathologic evaluations. When the sizes of the tumors shown by EUS and histopathologic evaluation were compared, the mean values were not significantly different. All the tumors were located within the submucosal layer, and the accuracy of the preoperative depth determination with EUS was 100% (22/22). The mean duration of the ESD procedure was 37 min (range, 20–71 min). The overall rate of en bloc resection with ESD was 100% (22/22). Although postoperative bleeding occurred in two cases (9%), both cases were successfully managed by endoscopic hemostasis. No perforation or recurrence was observed during the mean follow-up period of 30 months (range, 7–66 months).

Conclusions

Endoscopic submucosal dissection and preoperative assessment with EUS are effective for treating rectal carcinoid tumors and enabling en bloc resection.

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Title: Endoscopic submucosal dissection and preoperative assessment with endoscopic ultrasonography for the treatment of rectal carcinoid tumors
Authors: Naoki Ishii
Noriyuki Horiki
Toshiyuki Itoh
Masataka Maruyama
Michitaka Matsuda
Takeshi Setoyama
Shoko Suzuki
Shino Uchida
Masayo Uemura
Yusuke Iizuka
Katsuyuki Fukuda
Koyu Suzuki
Yoshiyuki Fujita
Publication date: 01-06-2010
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 6/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-009-0791-x

2024 ASCO Annual Meeting

Springer Medicine

Endoscopic submucosal dissection and preoperative assessment with endoscopic ultrasonography for the treatment of rectal carcinoid tumors

Abstract

Background

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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Erratum to: Surgical Endoscopy volume 21(12); volume 22(2)