The Advantage of an Endoscopic Submucosal Tunneling Technique for Rectal Carcinoid Tumors

Endoscopic treatment can be a curative option for small carcinoid tumors with an extremely low risk of metastasis. Since most carcinoid tumors are characterized by a specific growth pattern in the submucosal (SM) layer, specialized endoscopic techniques for deeper resection to achieve clear vertical...

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Detalles Bibliográficos
Autores principales: Kobara, Hideki, Mori, Hirohito, Chei, Li, Fujihara, Shintaro, Nishiyama, Noriko, Masaki, Tsutomu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Editorial Office of Gut and Liver 2017
Materias:
Brief Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5593338/
https://www.ncbi.nlm.nih.gov/pubmed/28874041
http://dx.doi.org/10.5009/gnl16580
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author Kobara, Hideki
Mori, Hirohito
Chei, Li
Fujihara, Shintaro
Nishiyama, Noriko
Masaki, Tsutomu
author_facet Kobara, Hideki
Mori, Hirohito
Chei, Li
Fujihara, Shintaro
Nishiyama, Noriko
Masaki, Tsutomu
author_sort Kobara, Hideki
collection PubMed
description Endoscopic treatment can be a curative option for small carcinoid tumors with an extremely low risk of metastasis. Since most carcinoid tumors are characterized by a specific growth pattern in the submucosal (SM) layer, specialized endoscopic techniques for deeper resection to achieve clear vertical margins are needed. The endoscopic submucosal dissection (ESD) method in the SM space is superior to conventional endoscopic mucosal resection. However, the standard ESD technique sometimes fails to provide complete deep SM dissection due to insufficient SM lifting. Here, to resolve this problem, we describe our initial experience with an endoscopic SM tunneling technique that is effective for treating rectal carcinoid tumors.
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spelling pubmed-55933382017-09-13 The Advantage of an Endoscopic Submucosal Tunneling Technique for Rectal Carcinoid Tumors Kobara, Hideki Mori, Hirohito Chei, Li Fujihara, Shintaro Nishiyama, Noriko Masaki, Tsutomu Gut Liver Brief Communication Endoscopic treatment can be a curative option for small carcinoid tumors with an extremely low risk of metastasis. Since most carcinoid tumors are characterized by a specific growth pattern in the submucosal (SM) layer, specialized endoscopic techniques for deeper resection to achieve clear vertical margins are needed. The endoscopic submucosal dissection (ESD) method in the SM space is superior to conventional endoscopic mucosal resection. However, the standard ESD technique sometimes fails to provide complete deep SM dissection due to insufficient SM lifting. Here, to resolve this problem, we describe our initial experience with an endoscopic SM tunneling technique that is effective for treating rectal carcinoid tumors. Editorial Office of Gut and Liver 2017-09 2017-09-15 /pmc/articles/PMC5593338/ /pubmed/28874041 http://dx.doi.org/10.5009/gnl16580 Text en Copyright © 2017 by The Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, Korean Association the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, Korean Pancreatobiliary Association, and Korean Society of Gastrointestinal Cancer. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Brief Communication
Kobara, Hideki
Mori, Hirohito
Chei, Li
Fujihara, Shintaro
Nishiyama, Noriko
Masaki, Tsutomu
The Advantage of an Endoscopic Submucosal Tunneling Technique for Rectal Carcinoid Tumors
title The Advantage of an Endoscopic Submucosal Tunneling Technique for Rectal Carcinoid Tumors
title_full The Advantage of an Endoscopic Submucosal Tunneling Technique for Rectal Carcinoid Tumors
title_fullStr The Advantage of an Endoscopic Submucosal Tunneling Technique for Rectal Carcinoid Tumors
title_full_unstemmed The Advantage of an Endoscopic Submucosal Tunneling Technique for Rectal Carcinoid Tumors
title_short The Advantage of an Endoscopic Submucosal Tunneling Technique for Rectal Carcinoid Tumors
title_sort advantage of an endoscopic submucosal tunneling technique for rectal carcinoid tumors
topic Brief Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5593338/
https://www.ncbi.nlm.nih.gov/pubmed/28874041
http://dx.doi.org/10.5009/gnl16580
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