Endoscopic Resection of a Rectal Neuroendocrine Tumor: Hybrid Endoscopic Submucosal Dissection

Recently, modified EMR (cap- or band ligation-assisted), hybrid EMR/ESD (H-EMR/ESD) techniques, and full-thickness resection [1, 3-5] have been proposed to improve in-depth resection of conventional EMR and decrease ESD drawbacks [3-5]. H-EMR/ESD has an additional advantage for difficult lesions and...

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Published inGE Portuguese journal of gastroenterology Vol. 26; no. 2; pp. 131 - 133
Main Authors Gravito-Soares, Marta, Gravito-Soares, Elisa, Amaro, Pedro, Cunha, Inês, Fraga, João, Tomé, Luís
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.03.2019
Karger Publishers
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Summary:Recently, modified EMR (cap- or band ligation-assisted), hybrid EMR/ESD (H-EMR/ESD) techniques, and full-thickness resection [1, 3-5] have been proposed to improve in-depth resection of conventional EMR and decrease ESD drawbacks [3-5]. H-EMR/ESD has an additional advantage for difficult lesions and tumor size close to 10 mm or larger, reducing recurrence rate related with modified-EMR due to the limited tumor size that can be aspirated [2, 5]. H-EMR/ESD may be a good treatment choice for small R-NET limited to submucosa, without significantly compromising the completeness, timing, and safety of the procedure.
ISSN:2341-4545
2387-1954
DOI:10.1159/000487550