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Submucosal Endoscopic Resection of Rectal GEP-NETs Is Curative—a Case Series Analysis

  • Surgical Techniques and Innovations
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Abstract

Rectal neuroendocrine tumors are usually small-sized lesions detected incidentally by colonoscopy and their survival rate is high. In its treatment, endoscopic mucosal resection and endoscopic submucosal dissection are frequently used. In this study, we aimed to retrospectively evaluate the patients who underwent endoscopic resection due to rectal neuroendocrine tumor. Seven patients who underwent endoscopic resection due to rectal neuroendocrine tumor in gastroenterology surgery endoscopy unit between 2015 and 2019 were included in the study. The cases were evaluated in terms of age, gender, tumor size, histopathology result, complete excision, en bloc excision, performed procedure, complication, additional procedure, referral to surgery, number of follow-up, follow-up time, and recurrence. The mean lesion size was 1.14 (0.8–1.5) cm. Histopathology results of all cases were evaluated as grade 1 neuroendocrine tumor. Complete excision and en bloc excision were performed in all cases. No complications were observed in the cases. No recurrence was observed in the cases. Endoscopic submucosal dissection and endoscopic mucosal resection can be safely used with high complete excision rate and low possibility of complications if the lesion is below 1.5 cm, and there is no muscle layer invasion in rectal neuroendocrine tumors.

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Authors and Affiliations

  1. Gastroenterology Surgery Department, Ankara City Hospital, Ankara, Turkey

    Tahsin Dalgic & Erdal Birol Bostanci

  2. General Surgery Department, Ankara Training and Research Hospital, İşçi blokları mah, Budapeste cad, Tuncer apt, No. 4/25 Çankaya, Ankara, Turkey

    Abdullah Senlikci

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  1. Tahsin Dalgic
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  2. Abdullah Senlikci
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  3. Erdal Birol Bostanci
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Contributions

TD conceived and planned the experiments. AŞ developed the theory. TD carried out the experiment. AŞ wrote the manuscript with support from TD and EBB. All authors interpreted the data, revised it critically, and contributed to the final version of the manuscript.

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Correspondence to Abdullah Senlikci.

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The authors declare that they have no conflicts of interest.

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Dalgic, T., Senlikci, A. & Bostanci, E.B. Submucosal Endoscopic Resection of Rectal GEP-NETs Is Curative—a Case Series Analysis. Indian J Surg 82, 927–929 (2020). https://doi.org/10.1007/s12262-020-02428-z

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  • DOI: https://doi.org/10.1007/s12262-020-02428-z

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