Endoscopic mucosal resection with double band ligation versus endoscopic submucosal dissection for small rectal neuroendocrine tumors

Huang, Jia-Lan; Gan, Ri-Yun; Chen, Ze-Han; Gao, Ruoyu; Li, Defeng; Wang, Lisheng; Yao, Jun

doi:10.4240/wjgs.v15.i3.440

Cited by 1 publication

(2 citation statements)

References 27 publications

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“…Studies evaluating appropriate resection techniques for smaller (<10 mm) r-NENs found that there was no significant difference in outcome when m-EMR techniques are compared to ESDs. Huang et al randomly assigned 50 patients with small r-NENs to double-band ligation-assisted EMR or ESD and found that the rate of en bloc and pathologically complete resection was 100% in both groups with no significant difference in rates of complications [ 83 ]. Other studies have also noted no significant difference in the outcomes of patients with small r-NENs treated with ESD compared to EMR with shorter procedure time in the EMR group [ 83 , 84 ].…”

Section: Role Of Endoscopy In the Diagnosis Staging And Management Of...mentioning

confidence: 99%

“…Huang et al randomly assigned 50 patients with small r-NENs to double-band ligation-assisted EMR or ESD and found that the rate of en bloc and pathologically complete resection was 100% in both groups with no significant difference in rates of complications [ 83 ]. Other studies have also noted no significant difference in the outcomes of patients with small r-NENs treated with ESD compared to EMR with shorter procedure time in the EMR group [ 83 , 84 ]. A systematic review and meta-analysis of 14 studies showed that EMR with suction was superior to ESD in terms of higher complete resection rate, shorter procedure time, and similar overall complication rate and recurrence [ 85 ].…”

Section: Role Of Endoscopy In the Diagnosis Staging And Management Of...mentioning

confidence: 99%

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Role of Advanced Gastrointestinal Endoscopy in the Comprehensive Management of Neuroendocrine Neoplasms

Gopakumar,

Jahagirdar,

Koyi

et al. 2023

Cancers

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Neuroendocrine neoplasms (NENs), also called neuroendocrine tumors (NETs), are relatively uncommon, heterogenous tumors primarily originating in the gastrointestinal tract. With the improvement in technology and increasing use of cross-sectional imaging and endoscopy, they are being discovered with increasing frequency. Although traditionally considered indolent tumors with good prognoses, some NENs exhibit aggressive behavior. Timely diagnosis, risk stratification, and management can often be a challenge. In general, small NENs without local invasion or lymphovascular involvement can often be managed using minimally invasive advanced endoscopic techniques, while larger lesions and those with evidence of lymphovascular invasion require surgery, systemic therapy, or a combination thereof. Ideal management requires a comprehensive and accurate understanding of the stage and grade of the tumor. With the recent advancements, a therapeutic advanced endoscopist can play a pivotal role in diagnosing, staging, and managing this rare condition. High-definition white light imaging and digital image enhancing technologies like narrow band imaging (NBI) in the newer endoscopes have improved the diagnostic accuracy of traditional endoscopy. The refinement of endoscopic ultrasound (EUS) over the past decade has revolutionized the role of endoscopy in diagnosing and managing various pathologies, including NENs. In addition to EUS-directed diagnostic biopsies, it also offers the ability to precisely assess the depth of invasion and lymphovascular involvement and thus stage NENs accurately. EUS-directed locoregional ablative therapies are increasingly recognized as highly effective, minimally invasive treatment modalities for NENs, particularly pancreatic NENs. Advanced endoscopic resection techniques like endoscopic submucosal dissection (ESD), endoscopic submucosal resection (EMR), and endoscopic full-thickness resection (EFTR) have been increasingly used over the past decade with excellent results in achieving curative resection of various early-stage gastrointestinal luminal lesions including NENs. In this article, we aim to delineate NENs of the different segments of the gastrointestinal (GI) tract (esophagus, gastric, pancreatic, and small and large intestine) and their management with emphasis on the endoscopic management of these tumors.

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Section: Role Of Endoscopy In the Diagnosis Staging And Management Of...mentioning

confidence: 99%

Section: Role Of Endoscopy In the Diagnosis Staging And Management Of...mentioning

confidence: 99%

Role of Advanced Gastrointestinal Endoscopy in the Comprehensive Management of Neuroendocrine Neoplasms

Gopakumar,

Jahagirdar,

Koyi

et al. 2023

Cancers

View full text Add to dashboard Cite

show abstract

Endoscopic mucosal resection with double band ligation versus endoscopic submucosal dissection for small rectal neuroendocrine tumors

Cited by 1 publication

References 27 publications

Role of Advanced Gastrointestinal Endoscopy in the Comprehensive Management of Neuroendocrine Neoplasms

Role of Advanced Gastrointestinal Endoscopy in the Comprehensive Management of Neuroendocrine Neoplasms

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