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Endoscopic resection therapies for rectal neuroendocrine tumors: A systematic review and meta-analysis
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
2014-02-01
DOI10.1111/jgh.12395
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
引用统计
被引频次:12[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54637
专题北京大学公共卫生学院
北京大学第三临床医学院_口腔科
北京大学第三临床医学院_普通外科
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
推荐引用方式
GB/T 7714
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.
APA Zhou, Xin,Xie, Haiting,Xie, Lingduo,Li, Jing,Cao, Weihua,&Fu, Wei.(2014).Endoscopic resection therapies for rectal neuroendocrine tumors: A systematic review and meta-analysis.JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY,29(2),259-268.
MLA Zhou, Xin,et al."Endoscopic resection therapies for rectal neuroendocrine tumors: A systematic review and meta-analysis".JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY 29.2(2014):259-268.
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