Transanal endoscopic microsurgery for rectal carcinoids: the largest reported United States experience

Kumar, Anjali S.; Sidani, Shafik; Kolli, Kirthi; Stahl, Thomas J.; Ayscue, Jennifer M.; Fitzgerald, James; Smith, Lee E.

doi:10.1111/j.1463-1318.2011.02726.x

Cited by 47 publications

(34 citation statements)

References 29 publications

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“…In our study, seven patients underwent general anesthesia, and another seven patients underwent epidural anesthesia. TEM requires much time for training and special equipment . Although TEM has shown higher efficacy than ESD and EMR, endoscopic treatment seems to be an acceptable alternative to TEM for small rectal NET.…”

Section: Discussionmentioning

confidence: 99%

“…It allows for wide, full-thickness excision as well as accurate determination of resection margins. 6,26 The clinical efficacy of TEM for benign adenoma or NET has been reported. 6,[26][27][28] In addition, TEM can be an effective rescue treatment for complete removal of residual tumors.…”

Section: T Oday Treatment Modalities For Rectal Netmentioning

confidence: 99%

“…6,26 The clinical efficacy of TEM for benign adenoma or NET has been reported. 6,[26][27][28] In addition, TEM can be an effective rescue treatment for complete removal of residual tumors. In our study, although TEM resulted in no local recurrences or complications, it had several disadvantages, such as excessively longer operating times and hospitalization, as well as © 2014 The Authors Digestive Endoscopy © 2014 Japan Gastroenterological Endoscopy Society the potential risk of anesthesia.…”

Section: T Oday Treatment Modalities For Rectal Netmentioning

confidence: 99%

“…TEM requires much time for training and special equipment. 6,26 Although TEM has shown higher efficacy than ESD and EMR, endoscopic treatment seems to be an acceptable alternative to TEM for small rectal NET.…”

Section: T Oday Treatment Modalities For Rectal Netmentioning

confidence: 99%

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Endoscopic resection yields reliable outcomes for small rectal neuroendocrine tumors

Jeon

Cheung

Lee

et al. 2014

Digestive Endoscopy

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Section: Discussionmentioning

confidence: 99%

Section: T Oday Treatment Modalities For Rectal Netmentioning

confidence: 99%

Section: T Oday Treatment Modalities For Rectal Netmentioning

confidence: 99%

Section: T Oday Treatment Modalities For Rectal Netmentioning

confidence: 99%

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Endoscopic resection yields reliable outcomes for small rectal neuroendocrine tumors

Jeon

Cheung

Lee

et al. 2014

Digestive Endoscopy

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“…72,80 Several studies from the TEM data show that these are usually smaller lesions and less challenging than rectal adenocarcinomas. 73 These authors report no positive margins in their final surgical specimens and no local recurrence.…”

Section: Image 1 Depth Of Submucosal Invasion: Submucosa Divided Intomentioning

confidence: 99%

Transanal Minimally Invasive Surgery (TAMIS): a clinical spotlight review

2017

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Teresa deBeche-Adams, Imran Hassan, and the SAGES Guidelines Committee PreambleThe following clinical spotlight review regarding Transanal Minimally Invasive Surgery (TAMIS) is intended for physicians who manage and treat rectal pathology. It is meant to critically review this technique and the available evidence supporting its safety and efficacy. Based on the level of evidence, recommendations may or may not be given for its use in clinical practice. DisclaimerGuidelines for clinical practice and spotlight reviews are intended to indicate preferable approaches to medical problems as established by experts in the field. These recommendations will be based on existing data or a consensus of expert opinion when little or no data are available. Spotlight reviews are applicable to all physicians who address the clinical problem(s) without regard to specialty training or interests, and are intended to convey recommendations based on a focused topic; within the defined scope of the review, they indicate the preferable, but not necessarily the only acceptable approaches due to the complexity of the healthcare environment. Guidelines and recommendations are intended to be flexible. Given the wide range of specifics in any healthcare problem, the surgeon must always choose the course best suited to the individual patient and the variables in existence at the moment of decision. Guidelines, spotlight reviews, and recommendations are developed under the auspices of the Society of American Gastrointestinal Endoscopic Surgeons and its various committees, and approved by the Board of Governors. Each clinical spotlight review has been systematically researched, reviewed and revised by the guidelines committee, and, when appropriate, reviewed by an appropriate multidisciplinary team. The recommendations are therefore considered valid at the time of production based on the data available. Literature reviewA systematic literature search was performed using PubMed for Transanal Minimally Invasive Surgery (TAMIS). The literature was reviewed from September 1, 2010 through May 31, 2016. Both the quality of the evidence and the strength of the recommendation for each of the guidelines were assessed according to the GRADE system. This uses a 4-tiered system for denoting the quality of evidence (very low (+), low (+ +), moderate (+ + +), or high (+ + + +)) and a 2-tiered system for strength of recommendation (weak, or strong).

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