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01-09-2013 | Dynamic Manuscript

Safety and long-term results of endoscopic transanal resection in treating rectal adenomas: 15 years’ experience

Authors: Ville Sallinen, Henrikki Santti, Tapani Liukkonen, Pekka Hellström, Jyrki Mäkelä, Veli-Matti Puolakka, Hannu Paajanen

Published in: Surgical Endoscopy | Issue 9/2013

Abstract

Background

Endoscopic transanal resection (ETAR) is a scarcely used technique to treat large or sessile rectal adenomas not amenable to polypectomy. The purpose of this study was to evaluate safety and long-term results of ETAR in treating rectal adenomas in three hospitals over 15 years.

Methods

Patients who underwent ETAR during 1996–2010 were retrospectively analyzed with respect to patient, adenoma, and operative characteristics, earlier operations, complications, follow-up time, recurrence rates, recurrence treatment, and cancer incidence.

Results

Ninety-two patients underwent a total 111 ETARs to treat rectal adenoma. The mean age of patients was 71 years, and the median ASA class 3. Twenty-eight patients previously had received other treatments for rectal adenoma. Incidental carcinoma was found in eight patients. Sixty-seven adenomas were treated with only one ETAR and 17 with two or three ETARs. Sixty-seven patients did not have a recurrence, whereas 14 patients had an adenoma recurrence and 3 patients developed invasive carcinoma during a mean follow-up of 30 months. Complications occurred in 14 patients; all were minor, except for one explorative laparotomy without findings. No mortalities or conversions to open surgery occurred.

Conclusions

ETAR is a minimally invasive and safe technique with inexpensive instrumentation to treat rectal adenomas that are not amenable to polypectomy. Adenoma recurrence rate was 15 % and cancer incidence 3 % in follow-up.

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Title: Safety and long-term results of endoscopic transanal resection in treating rectal adenomas: 15 years’ experience
Authors: Ville Sallinen
Henrikki Santti
Tapani Liukkonen
Pekka Hellström
Jyrki Mäkelä
Veli-Matti Puolakka
Hannu Paajanen
Publication date: 01-09-2013
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 9/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-013-2885-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Safety and long-term results of endoscopic transanal resection in treating rectal adenomas: 15 years’ experience

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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