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学科主题: 公共卫生
题名:
Endoscopic resection therapies for rectal neuroendocrine tumors: A systematic review and meta-analysis
作者: Zhou, Xin1; Xie, Haiting1; Xie, Lingduo1; Li, Jing2; Cao, Weihua2; Fu, Wei1
关键词: endoscopic mucosal resection ; endoscopic submucosal dissection ; gastrointestinal endoscopy ; rectal neuroendocrine tumor
刊名: JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
发表日期: 2014-02-01
DOI: 10.1111/jgh.12395
卷: 29, 期:2, 页:259-268
收录类别: SCI
文章类型: Review
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology
研究领域[WOS]: Gastroenterology & Hepatology
关键词[WOS]: CARCINOID-TUMORS ; MUCOSAL-RESECTION ; SUBMUCOSAL-DISSECTION ; LIGATION DEVICE ; CONSENSUS GUIDELINES ; METASTASIS ; MANAGEMENT ; PROGNOSIS ; FEATURES ; TRENDS
英文摘要:

Background and Aim: Among various endoscopic resection therapies, including conventional endoscopic mucosal resection (EMR) only with a snare after submucosal injection, modified EMR (m-EMR) with other assistant devices such as a ligation band or a suction cap, and endoscopic submucosal dissection (ESD), we aimed to study which is the best choice for rectal neuroendocrine tumors.

Methods: A broad literature research was performed, and a systematic review and meta-analysis were conducted.

Results: Ten retrospective studies with 650 patients were included. Complete resection rates were significantly higher in the ESD group compared with the EMR group (relative risk [RR] 0.89, 95% confidence interval [CI] [0.79, 0.99]), in the m-EMR group compared with the conventional EMR group (RR 0.72, 95% CI [0.60, 0.86]), and was comparable between the ESD group and the m-EMR group (RR 1.03, 95% CI [0.95, 1.11]). Procedure time was significantly longer in the ESD group than in the EMR group (standard mean differences -1.37, 95% CI [-1.99, -0.75]), but there was no significant difference between that of the m-EMR group and ESD group (standard mean differences -1.50, 95% CI [-3.14, 0.14]). Local recurrence occurred in five cases in the EMR group (5/328) and did not occur in the ESD group (0/209).

Conclusions: ESD or m-EMR techniques could be applied to rectal neuroendocrine tumors with indications for endoscopic treatment. m-EMR procedures appear to be comparable with ESD in the treatment of rectal neuroendocrine tumors. However, the findings have to be carefully interpreted due to the lower level of evidence.

语种: 英语
WOS记录号: WOS:000336252400009
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54637
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.Peking Univ Hlth Sci Ctr, Sch Publ Hlth, Dept Gen Surg, Beijing, Peoples R China
2.Peking Univ Hlth Sci Ctr, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing, Peoples R China

Recommended Citation:
Zhou, Xin,Xie, Haiting,Xie, Lingduo,et al. Endoscopic resection therapies for rectal neuroendocrine tumors: A systematic review and meta-analysis[J]. JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY,2014,29(2):259-268.
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