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[Endoscopic treatment of rectal neuroendocrine tumors: multicentre study in Peru]. / Manejo endoscópico de los tumores neuroendocrinos rectales: estudio multicéntrico en Perú.
Palacios Salas, Fernando; Guzmán Calderón, Edson; Liza Baca, Estefanía; Lévano Félix, Diana; Zavaleta Jara, Luygy; Benites Goñi, Harold.
Afiliação
  • Palacios Salas F; Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú; Clínica Delgado. Lima, Perú; Clínica Internacional. Lima, Perú.
  • Guzmán Calderón E; Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú; Clínica El Golf. Lima, Perú; Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas. Lima, Perú.
  • Liza Baca E; Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú.
  • Lévano Félix D; Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú.
  • Zavaleta Jara L; Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú.
  • Benites Goñi H; Hospital Nacional Edgardo Rebagliati Martins. Lima, Perú.
Rev Gastroenterol Peru ; 38(1): 32-39, 2018.
Article em Es | MEDLINE | ID: mdl-29791419
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.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Retais / Proctoscopia / Tumores Neuroendócrinos / Ressecção Endoscópica de Mucosa Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Peru Idioma: Es Revista: Rev Gastroenterol Peru Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2018 Tipo de documento: Article País de publicação: Peru
Buscar no Google
Adicionar na Minha BVS
Imprimir
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PubMed Links

Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Retais / Proctoscopia / Tumores Neuroendócrinos / Ressecção Endoscópica de Mucosa Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Peru Idioma: Es Revista: Rev Gastroenterol Peru Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2018 Tipo de documento: Article País de publicação: Peru