Cap-assisted EMR for rectal neuroendocrine tumors: comparisons with conventional EMR and endoscopic submucosal dissection (with videos)

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• 作者：Dong-Hoon Yang ; MD ; PhD¹ ; ; Yangsoon Park ; MD ; PhD² ; Sang Hyoung Park ; MD¹ ; Kyung-Jo Kim ; MD ; PhD¹ ; Byong Duk Ye ; MD ; PhD¹ ; Jeong-Sik Byeon ; MD ; PhD¹ ; Seung-Jae Myung ; MD ; PhD¹ ; Suk-Kyun Yang ; MD ; PhD¹
• 关键词：EMR-C ; cap-assisted EMR ; ESD ; endoscopic submucosal dissection ; NET ; neuroendocrine tumor
• 刊名：Gastrointestinal Endoscopy
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：83
• 期：5
• 页码：1015-1022
• 全文大小：727 K

文摘

The incidence of rectal neuroendocrine tumors (NETs) is increasing, and most small rectal NETs can be treated endoscopically. Cap-assisted EMR (EMR-C) was suggested as an effective treatment for rectal NETs in a few studies. We aimed to compare the outcomes of conventional EMR, EMR-C, and endoscopic submucosal dissection (ESD) for the treatment of rectal NETs.

Methods

A total of 138 rectal NETs were treated endoscopically by a single endoscopist at Asan Medical Center. We analyzed 122 rectal NETs that had been removed by using EMR (n = 56), EMR-C (n = 34), or ESD (n = 32).

Results

The histologic complete resection rate was higher in the EMR-C group than in the EMR group (94.1% vs 76.8%, P = .032). Intraprocedural bleeding tended to be more frequent in the EMR-C group than in the EMR group (8.8% vs 0%, P = .051). No differences in the rates of adverse events or histologic complete resections were observed between the EMR-C group and the ESD group for 6-mm to 8-mm NETs; however, the procedure time was significantly shorter in the EMR-C group (3.9 ± 1.1 minutes) than in the ESD group (19.0 ± 12.1 minutes) (P < .001). There was no recurrence in any of the 3 groups.

Conclusions

EMR-C is the preferable technique for endoscopic resection of small rectal NETs.