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Revista de Gastroenterología del Perú

Print version ISSN 1022-5129


PALACIOS SALAS, Fernando et al. Endoscopic treatment of rectal neuroendocrine tumors: multicentre study in Peru. Rev. gastroenterol. Perú [online]. 2018, vol.38, n.1, pp.32-39. ISSN 1022-5129.

Introduction: The incidental detection of rectal neuroendocrine tumors (NET) has increased but there is no proper consensus about treatment. Objective: Evaluate the efficacy and safety of endoscopic treatment for rectal NET less than 20 mm, with emphasis in "standardized treatment". Material and methods: From January 2012 to April 2016, we included patients with rectal NET less than 20 mm resected by conventional EMR, EMR-B and ESD. We considered as "standardized treatment" the one that has precise indication and technical rigor (EMR-B for lesions ≤ 10 mm and ESD for lesions between 11 and 20 mm). We evaluate complete resection rates and incidence of complications. Results: 23 patients with 23 rectal NET were included. The mean age was 52.96 ± 12.44 years. The mean tumor diameter was 8.8 ± 3.4 mm. The complete resection rates by conventional EMR, EMR-Band ESD were 50 (3/6), 92.8 (13/14) and 100% (3/3), respectively; while by standardized and conventional treatment were 100 (14/14) and 55.5% (5/9), respectively. Complications occurred in 4 cases (17.4%), bleeding in 2 and perforation in 2, all of them solved by endoscopy. Conclusions: Endoscopic treatment by EMR-B and ESD is efficacious and safe for rectal NET ≤ 20 mm. Standardized treatment improve the efficacy of endoscopic treatment.

Keywords : Carcinoid tumor; Rectum; Endoscopy, gastrointestinal.

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