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Systematic Resection of the Visible Scar After Incomplete Endoscopic Resection of Rectal Neuroendocrine Tumors.
Cheminel, Loïc; Lupu, Alexandru; Wallenhorst, Timothée; Lepilliez, Vincent; Leblanc, Sarah; Albouys, Jérémie; Abou Ali, Einas; Barret, Maximilien; Lorenzo, Diane; De Mestier, Louis; Burtin, Pascal; Girot, Paul; Le Baleur, Yann; Gerard, Romain; Yzet, Clara; Tchirikhtchian, Karl; Degand, Thibault; Culetto, Adrian; Lemmers, Arnaud; Schaefer, Marion; Chevaux, Jean-Baptiste; Zhong, Peng; Hervieu, Valérie; Subtil, Fabien; Rivory, Jérôme; Fine, Caroline; Jacques, Jérémie; Walter, Thomas; Pioche, Mathieu.
Afiliação
  • Cheminel L; Endoscopy and Gastroenterology Unit, Pavillon L, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
  • Lupu A; Endoscopy and Gastroenterology Unit, Pavillon L, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
  • Wallenhorst T; Department of Endoscopy and Gastroenterology, Pontchaillou Hospital, Rennes University Hospital, Rennes, France.
  • Lepilliez V; Department of Endoscopy and Gastroenterology, Jean Mermoz Private Hospital, Ramsay Santé, Lyon, France.
  • Leblanc S; Department of Endoscopy and Gastroenterology, Jean Mermoz Private Hospital, Ramsay Santé, Lyon, France.
  • Albouys J; Department of Endoscopy and Gastroenterology, Dupuytren University Hospital, Limoges, France.
  • Abou Ali E; Department of Endoscopy and Gastroenterology, Cochin Hospital, APHP, Paris, France.
  • Barret M; Department of Endoscopy and Gastroenterology, Cochin Hospital, APHP, Paris, France.
  • Lorenzo D; Department of Endoscopy and Gastroenterology, Beaujon Hospital, APHP, Paris, France.
  • De Mestier L; Department of Endoscopy and Gastroenterology, Beaujon Hospital, APHP, Paris, France.
  • Burtin P; Digestive Endoscopy Unit, Gustave Roussy Oncology Institute, Villejuif, France.
  • Girot P; Department of Oncology, Loire Vendée Océan Hospital, La Roche sur Yon, France.
  • Le Baleur Y; Digestive Endoscopy Unit, Department of Gastroenterology, Paris Saint-joseph Hospital, Paris, France.
  • Gerard R; Department of Digestive Diseases, Claude Huriez Hospital, Lille University Hospital, Lille, France.
  • Yzet C; Endoscopy and Gastroenterology Unit, Pavillon L, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
  • Tchirikhtchian K; Endoscopy Unit, Bezannes Polyclinic, Bezannes, France.
  • Degand T; Department of Endoscopy and Gastroenterology, Dijon University Hospital, Dijon, France.
  • Culetto A; Department of Gastroenterology and Pancreatology, Rangueil University Hospital, Toulouse, France.
  • Lemmers A; Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Erasme Hospital, Brussels, Belgium.
  • Schaefer M; Endoscopy and Gastroenterology Unit, Brabois Hospitals, Nancy, France.
  • Chevaux JB; Endoscopy and Gastroenterology Unit, Brabois Hospitals, Nancy, France.
  • Zhong P; Department of Endoscopy and Gastroenterology, Besançon Regional University Hospital, Besançon, France.
  • Hervieu V; Histology Department, Hospices Civils de Lyon, Lyon, France.
  • Subtil F; Service de Biostatistique, Hospices Civils de Lyon, Lyon, France.
  • Rivory J; Université de Lyon, Université Lyon 1, CNRS, Laboratoire de Biométrie et Biologie Évolutive UMR 5558, Villeurbanne, France.
  • Fine C; Endoscopy and Gastroenterology Unit, Pavillon L, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
  • Jacques J; Department of Endoscopy and Gastroenterology, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France ; and.
  • Walter T; Department of Endoscopy and Gastroenterology, Dupuytren University Hospital, Limoges, France.
  • Pioche M; Department of Medical Oncology, Pavillon E, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France .
Am J Gastroenterol ; 119(2): 378-381, 2024 Feb 01.
Article em En | MEDLINE | ID: mdl-37734341
ABSTRACT

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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Retais / Tumores Neuroendócrinos / Ressecção Endoscópica de Mucosa Limite: Humans Idioma: En Revista: Am J Gastroenterol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: França
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Retais / Tumores Neuroendócrinos / Ressecção Endoscópica de Mucosa Limite: Humans Idioma: En Revista: Am J Gastroenterol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: França