Systematic Resection of the Visible Scar After Incomplete Endoscopic Resection of Rectal Neuroendocrine Tumors-Reference-Cited by-同舟云学术

Systematic Resection of the Visible Scar After Incomplete Endoscopic Resection of Rectal Neuroendocrine Tumors

Published:2023-10-02 Issue:2 Volume:119 Page:378-381
ISSN:0002-9270
Container-title:American Journal of Gastroenterology
language:en
Short-container-title:Am J Gastroenterol

Author:

Cheminel Loïc¹,Lupu Alexandru¹,Wallenhorst Timothée²,Lepilliez Vincent³^ORCID,Leblanc Sarah³,Albouys Jérémie⁴,Abou Ali Einas⁵^ORCID,Barret Maximilien⁵^ORCID,Lorenzo Diane⁶^ORCID,De Mestier Louis⁶^ORCID,Burtin Pascal⁷,Girot Paul⁸,Le Baleur Yann⁹,Gerard Romain¹⁰,Yzet Clara¹^ORCID,Tchirikhtchian Karl¹¹,Degand Thibault¹²^ORCID,Culetto Adrian¹³,Lemmers Arnaud¹⁴^ORCID,Schaefer Marion¹⁵^ORCID,Chevaux Jean-Baptiste¹⁵,Zhong Peng¹⁶,Hervieu Valérie¹⁷,Subtil Fabien¹⁸¹⁹^ORCID,Rivory Jérôme¹,Fine Caroline²⁰^ORCID,Jacques Jérémie⁴,Walter Thomas²¹^ORCID,Pioche Mathieu¹

Affiliation:

1. Endoscopy and Gastroenterology Unit, Pavillon L, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France;

2. Department of Endoscopy and Gastroenterology, Pontchaillou Hospital, Rennes University Hospital, Rennes, France;

3. Department of Endoscopy and Gastroenterology, Jean Mermoz Private Hospital, Ramsay Santé, Lyon, France;

4. Department of Endoscopy and Gastroenterology, Dupuytren University Hospital, Limoges, France;

5. Department of Endoscopy and Gastroenterology, Cochin Hospital, APHP, Paris, France;

6. Department of Endoscopy and Gastroenterology, Beaujon Hospital, APHP, Paris, France;

7. Digestive Endoscopy Unit, Gustave Roussy Oncology Institute, Villejuif, France;

8. Department of Oncology, Loire Vendée Océan Hospital, La Roche sur Yon, France;

9. Digestive Endoscopy Unit, Department of Gastroenterology, Paris Saint-joseph Hospital, Paris, France;

10. Department of Digestive Diseases, Claude Huriez Hospital, Lille University Hospital, Lille, France;

11. Endoscopy Unit, Bezannes Polyclinic, Bezannes, France;

12. Department of Endoscopy and Gastroenterology, Dijon University Hospital, Dijon, France;

13. Department of Gastroenterology and Pancreatology, Rangueil University Hospital, Toulouse, France;

14. Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, CUB Erasme Hospital, Brussels, Belgium;

15. Endoscopy and Gastroenterology Unit, Brabois Hospitals, Nancy, France;

16. Department of Endoscopy and Gastroenterology, Besançon Regional University Hospital, Besançon, France;

17. Histology Department, Hospices Civils de Lyon, Lyon, France;

18. Service de Biostatistique, Hospices Civils de Lyon, Lyon, France;

19. Université de Lyon, Université Lyon 1, CNRS, Laboratoire de Biométrie et Biologie Évolutive UMR 5558, Villeurbanne, France;

20. Department of Endoscopy and Gastroenterology, Croix-Rousse Hospital, Hospices Civils de Lyon, Lyon, France; and

21. Department of Medical Oncology, Pavillon E, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.

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.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Gastroenterology,Hepatology

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