Loading…

Clinical Value of Clip-and-Snare Assisted Endoscopic Submucosal Resection in Treatment of Rectal Neuroendocrine Tumors

Introduction: The aim of the study was to introduce a new endoscopic technology, clip-and-snare assisted endoscopic submucosal resection (CS-ESMR), for treatment of rectal neuroendocrine tumors (NETs) and then to investigate the therapeutic value of CS-ESMR. Methods: In this retrospective study, 67...

Full description

Saved in:
Bibliographic Details
Published in:Visceral medicine 2023-10, Vol.39 (5), p.140-147
Main Authors: Jiang, Xin-Tong, Hu, Yang, Gong, Jian, Guo, Shi-Bin
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c385t-ed4cd872cd5d53434313a8c374aeb32b62cf0240419360131153acc4cd956cdb3
container_end_page 147
container_issue 5
container_start_page 140
container_title Visceral medicine
container_volume 39
creator Jiang, Xin-Tong
Hu, Yang
Gong, Jian
Guo, Shi-Bin
description Introduction: The aim of the study was to introduce a new endoscopic technology, clip-and-snare assisted endoscopic submucosal resection (CS-ESMR), for treatment of rectal neuroendocrine tumors (NETs) and then to investigate the therapeutic value of CS-ESMR. Methods: In this retrospective study, 67 patients who underwent endoscopic treatment of rectal NETs from March 2017 to December 2021 were analyzed. According to the endoscopic resection methods (endoscopic mucosal resection [EMR], CS-ESMR, and endoscopic submucosal dissection [ESD]), the cases were divided into CS-ESMR group (27 cases), ESD group (31 cases), and EMR group (9 cases). The pathological R0 resection rate and the incidence of adverse events (bleeding and perforation) were compared among the three groups. Results: There was a significant difference about the pathological R0 resection between the CS-ESMR group and the EMR group and between the CS-ESMR group and the ESD group (both p < 0.05). Compared with ESD group, the procedure time, intraoperative bleeding, and the cost of CS-ESMR group are significantly decreased (p < 0.001, p < 0.05, p < 0.001, respectively). Conclusion: CS-ESMR may be a safe and effective treatment for rectal NETs with a diameter of less than 10 mm, without muscularis propria invasion and metastasis.
doi_str_mv 10.1159/000533393
format article
fullrecord <record><control><sourceid>proquest_karge</sourceid><recordid>TN_cdi_proquest_miscellaneous_2884183024</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2884183024</sourcerecordid><originalsourceid>FETCH-LOGICAL-c385t-ed4cd872cd5d53434313a8c374aeb32b62cf0240419360131153acc4cd956cdb3</originalsourceid><addsrcrecordid>eNptkUFr3DAQhUVoSUKaQ-8hCHpJD24ly7KtUwlL2gZCC9lt6E1opXGi1JYcyQ7k33fCpqaFooPEzPfePDSEvOXsA-dSfWSMSSGEEnvksCxVU1SN_PlqeZfygBznfI8Yrxuu6nqfHIimVapR8pA8rnofvDU9vTH9DDR2FCtjYYIr1sEkoOc5-zyBoxfBxWzj6C1dz9thtjGj7Boy2MnHQH2gmwRmGiBMzz7XWEfgG8wpAmpt8gHoZh5iym_I6870GY5f7iPy4_PFZvW1uPr-5XJ1flVY0cqpAFdZ1zalddJJUeHhwrRWNJWBrSi3dWk7Vlas4krUjAv8EGGsRZGStXVbcUQ-7XxHTAzOYrRkej0mP5j0pKPx-t9O8Hf6Nj5qztBPCoYOZy8OKT7MkCc9-Gyh702AOGddtm3FW4EpEH2_Q22KOSfoljmc6edd6WVXyJ7-HWwh_2wGgZMd8MukW0gLsOjf_bd9c7neEXp0nfgNDBSlcA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2884183024</pqid></control><display><type>article</type><title>Clinical Value of Clip-and-Snare Assisted Endoscopic Submucosal Resection in Treatment of Rectal Neuroendocrine Tumors</title><source>PubMed Central</source><creator>Jiang, Xin-Tong ; Hu, Yang ; Gong, Jian ; Guo, Shi-Bin</creator><creatorcontrib>Jiang, Xin-Tong ; Hu, Yang ; Gong, Jian ; Guo, Shi-Bin</creatorcontrib><description>Introduction: The aim of the study was to introduce a new endoscopic technology, clip-and-snare assisted endoscopic submucosal resection (CS-ESMR), for treatment of rectal neuroendocrine tumors (NETs) and then to investigate the therapeutic value of CS-ESMR. Methods: In this retrospective study, 67 patients who underwent endoscopic treatment of rectal NETs from March 2017 to December 2021 were analyzed. According to the endoscopic resection methods (endoscopic mucosal resection [EMR], CS-ESMR, and endoscopic submucosal dissection [ESD]), the cases were divided into CS-ESMR group (27 cases), ESD group (31 cases), and EMR group (9 cases). The pathological R0 resection rate and the incidence of adverse events (bleeding and perforation) were compared among the three groups. Results: There was a significant difference about the pathological R0 resection between the CS-ESMR group and the EMR group and between the CS-ESMR group and the ESD group (both p &lt; 0.05). Compared with ESD group, the procedure time, intraoperative bleeding, and the cost of CS-ESMR group are significantly decreased (p &lt; 0.001, p &lt; 0.05, p &lt; 0.001, respectively). Conclusion: CS-ESMR may be a safe and effective treatment for rectal NETs with a diameter of less than 10 mm, without muscularis propria invasion and metastasis.</description><identifier>ISSN: 2297-4725</identifier><identifier>EISSN: 2297-475X</identifier><identifier>DOI: 10.1159/000533393</identifier><identifier>PMID: 37899795</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Research Article</subject><ispartof>Visceral medicine, 2023-10, Vol.39 (5), p.140-147</ispartof><rights>2023 The Author(s). Published by S. Karger AG, Basel</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel.</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c385t-ed4cd872cd5d53434313a8c374aeb32b62cf0240419360131153acc4cd956cdb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601530/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601530/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37899795$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Xin-Tong</creatorcontrib><creatorcontrib>Hu, Yang</creatorcontrib><creatorcontrib>Gong, Jian</creatorcontrib><creatorcontrib>Guo, Shi-Bin</creatorcontrib><title>Clinical Value of Clip-and-Snare Assisted Endoscopic Submucosal Resection in Treatment of Rectal Neuroendocrine Tumors</title><title>Visceral medicine</title><addtitle>Visc Med</addtitle><description>Introduction: The aim of the study was to introduce a new endoscopic technology, clip-and-snare assisted endoscopic submucosal resection (CS-ESMR), for treatment of rectal neuroendocrine tumors (NETs) and then to investigate the therapeutic value of CS-ESMR. Methods: In this retrospective study, 67 patients who underwent endoscopic treatment of rectal NETs from March 2017 to December 2021 were analyzed. According to the endoscopic resection methods (endoscopic mucosal resection [EMR], CS-ESMR, and endoscopic submucosal dissection [ESD]), the cases were divided into CS-ESMR group (27 cases), ESD group (31 cases), and EMR group (9 cases). The pathological R0 resection rate and the incidence of adverse events (bleeding and perforation) were compared among the three groups. Results: There was a significant difference about the pathological R0 resection between the CS-ESMR group and the EMR group and between the CS-ESMR group and the ESD group (both p &lt; 0.05). Compared with ESD group, the procedure time, intraoperative bleeding, and the cost of CS-ESMR group are significantly decreased (p &lt; 0.001, p &lt; 0.05, p &lt; 0.001, respectively). Conclusion: CS-ESMR may be a safe and effective treatment for rectal NETs with a diameter of less than 10 mm, without muscularis propria invasion and metastasis.</description><subject>Research Article</subject><issn>2297-4725</issn><issn>2297-475X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><recordid>eNptkUFr3DAQhUVoSUKaQ-8hCHpJD24ly7KtUwlL2gZCC9lt6E1opXGi1JYcyQ7k33fCpqaFooPEzPfePDSEvOXsA-dSfWSMSSGEEnvksCxVU1SN_PlqeZfygBznfI8Yrxuu6nqfHIimVapR8pA8rnofvDU9vTH9DDR2FCtjYYIr1sEkoOc5-zyBoxfBxWzj6C1dz9thtjGj7Boy2MnHQH2gmwRmGiBMzz7XWEfgG8wpAmpt8gHoZh5iym_I6870GY5f7iPy4_PFZvW1uPr-5XJ1flVY0cqpAFdZ1zalddJJUeHhwrRWNJWBrSi3dWk7Vlas4krUjAv8EGGsRZGStXVbcUQ-7XxHTAzOYrRkej0mP5j0pKPx-t9O8Hf6Nj5qztBPCoYOZy8OKT7MkCc9-Gyh702AOGddtm3FW4EpEH2_Q22KOSfoljmc6edd6WVXyJ7-HWwh_2wGgZMd8MukW0gLsOjf_bd9c7neEXp0nfgNDBSlcA</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Jiang, Xin-Tong</creator><creator>Hu, Yang</creator><creator>Gong, Jian</creator><creator>Guo, Shi-Bin</creator><general>S. Karger AG</general><scope>M--</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20231001</creationdate><title>Clinical Value of Clip-and-Snare Assisted Endoscopic Submucosal Resection in Treatment of Rectal Neuroendocrine Tumors</title><author>Jiang, Xin-Tong ; Hu, Yang ; Gong, Jian ; Guo, Shi-Bin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-ed4cd872cd5d53434313a8c374aeb32b62cf0240419360131153acc4cd956cdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Research Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Xin-Tong</creatorcontrib><creatorcontrib>Hu, Yang</creatorcontrib><creatorcontrib>Gong, Jian</creatorcontrib><creatorcontrib>Guo, Shi-Bin</creatorcontrib><collection>Karger Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Visceral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Xin-Tong</au><au>Hu, Yang</au><au>Gong, Jian</au><au>Guo, Shi-Bin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Value of Clip-and-Snare Assisted Endoscopic Submucosal Resection in Treatment of Rectal Neuroendocrine Tumors</atitle><jtitle>Visceral medicine</jtitle><addtitle>Visc Med</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>39</volume><issue>5</issue><spage>140</spage><epage>147</epage><pages>140-147</pages><issn>2297-4725</issn><eissn>2297-475X</eissn><abstract>Introduction: The aim of the study was to introduce a new endoscopic technology, clip-and-snare assisted endoscopic submucosal resection (CS-ESMR), for treatment of rectal neuroendocrine tumors (NETs) and then to investigate the therapeutic value of CS-ESMR. Methods: In this retrospective study, 67 patients who underwent endoscopic treatment of rectal NETs from March 2017 to December 2021 were analyzed. According to the endoscopic resection methods (endoscopic mucosal resection [EMR], CS-ESMR, and endoscopic submucosal dissection [ESD]), the cases were divided into CS-ESMR group (27 cases), ESD group (31 cases), and EMR group (9 cases). The pathological R0 resection rate and the incidence of adverse events (bleeding and perforation) were compared among the three groups. Results: There was a significant difference about the pathological R0 resection between the CS-ESMR group and the EMR group and between the CS-ESMR group and the ESD group (both p &lt; 0.05). Compared with ESD group, the procedure time, intraoperative bleeding, and the cost of CS-ESMR group are significantly decreased (p &lt; 0.001, p &lt; 0.05, p &lt; 0.001, respectively). Conclusion: CS-ESMR may be a safe and effective treatment for rectal NETs with a diameter of less than 10 mm, without muscularis propria invasion and metastasis.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>37899795</pmid><doi>10.1159/000533393</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2297-4725
ispartof Visceral medicine, 2023-10, Vol.39 (5), p.140-147
issn 2297-4725
2297-475X
language eng
recordid cdi_proquest_miscellaneous_2884183024
source PubMed Central
subjects Research Article
title Clinical Value of Clip-and-Snare Assisted Endoscopic Submucosal Resection in Treatment of Rectal Neuroendocrine Tumors
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T12%3A11%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_karge&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20Value%20of%20Clip-and-Snare%20Assisted%20Endoscopic%20Submucosal%20Resection%20in%20Treatment%20of%20Rectal%20Neuroendocrine%20Tumors&rft.jtitle=Visceral%20medicine&rft.au=Jiang,%20Xin-Tong&rft.date=2023-10-01&rft.volume=39&rft.issue=5&rft.spage=140&rft.epage=147&rft.pages=140-147&rft.issn=2297-4725&rft.eissn=2297-475X&rft_id=info:doi/10.1159/000533393&rft_dat=%3Cproquest_karge%3E2884183024%3C/proquest_karge%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c385t-ed4cd872cd5d53434313a8c374aeb32b62cf0240419360131153acc4cd956cdb3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2884183024&rft_id=info:pmid/37899795&rfr_iscdi=true