“Band-snare” resection of small rectal carcinoid tumors

Berkelhammer, Charles; Jasper, Irina; Kirvaitis, Edvardas; Schreiber, Solomon; Hamilton, John M.; Walloch, Jami

doi:10.1016/s0016-5107(99)70092-1

Cited by 42 publications

(27 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Technically, complete resection of carcinoid tumors of the rectum is difficult with conventional endoscopic polypectomy [12] , because 76% of these tumors extend into the submucosa [4][5][6] . However, various modified endoscopic therapies, such as strip biopsy [13] , aspiration resection [14] , band-snare resection [15] and endosonography probe-guided band ligation [16] result in good outcome for submucosal rectal carcinoid tumors less than 1 cm, so the application of ESD for carcinoids may be limited. When the lesions are larger, around 1-2 cm (1.1 cm in our case), or massively invade the submucosal layer, which may result in tumor-positive margin resection [3] , incomplete resection with endoscopic resection sometimes results in the need for additional surgery.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic submucosal dissection of a rectal carcinoid tumor using grasping type scissors forceps

Akahoshi¹,

Motomura²,

Kubokawa³

et al. 2009

WJG

View full text Add to dashboard Cite

Endoscopic submucosal dissection (ESD) with a knife is a technically demanding procedure associated with a high complication rate. The shortcomings of this method are the inability to fix the knife to the target lesion, and compression of the lesion. These can lead to major complications such as perforation and bleeding. To reduce the risk of complications related to ESD, we developed a new grasping type scissors forceps (GSF), which can grasp and incise the targeted tissue using electrosurgical current. Colonoscopy on a 55-year-old woman revealed a 10-mm rectal submucosal nodule. The histological diagnosis of the specimen obtained by biopsy was carcinoid tumor. Endoscopic ultrasonography demonstrated a hypoechoic solid tumor limited to the submucosa without lymph node involvement. It was safely and accurately resected without unexpected incision by ESD using a GSF. No delayed hemorrhage or perforation occurred. Histological examination confirmed the carcinoid tumor was completely excised with negative resection margin.

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic submucosal dissection of a rectal carcinoid tumor using grasping type scissors forceps

Akahoshi¹,

Motomura²,

Kubokawa³

et al. 2009

WJG

View full text Add to dashboard Cite

show abstract

“…Standard polypectomy is commonly performed, but in certain situations considered inadequate, especially if there is evidence of local invasion [41] . Band-snare resection [42] , aspiration lumpectomy [41,43] or strip biopsy [44,45] may be performed endoscopically where appropriate. Transanal resection using a variety of techniques and equipment offers the ability to resect higher lesions and a full-thickness mucosal-muscular resection.…”

Section: Surgical Therapy: Indications and Type Of Surgerymentioning

confidence: 99%

ENETS Consensus Guidelines for the Management of Patients with Digestive Neuroendocrine Neoplasms: Colorectal Neuroendocrine Neoplasms

et al. 2012

View full text Add to dashboard Cite

“…Standard polypectomy is commonly performed, but in certain situations considered inadequate as argued by Matsushita et al [33] , especially if there is evidence of local invasion. Band-snare resection [34] , aspiration lumpectomy [34,35] or strip biopsy [34,36] may be performed endoscopically where appropriate. Trans-anal resection using a variety of techniques and equipment offers the ability to resect higher lesions and a full thickness mucosal-muscular resection [37] .…”

Section: Indications and Type Of Surgery Local Diseasementioning

confidence: 99%

Consensus Guidelines for the Management of Patients with Digestive Neuroendocrine Tumours: Well-Differentiated Colon and Rectum Tumour/Carcinoma

Ramage

Goretzki

Manfredi³

et al. 2007

Neuroendocrinology

View full text Add to dashboard Cite

“Band-snare” resection of small rectal carcinoid tumors

Cited by 42 publications

References 13 publications

Endoscopic submucosal dissection of a rectal carcinoid tumor using grasping type scissors forceps

Endoscopic submucosal dissection of a rectal carcinoid tumor using grasping type scissors forceps

ENETS Consensus Guidelines for the Management of Patients with Digestive Neuroendocrine Neoplasms: Colorectal Neuroendocrine Neoplasms

Consensus Guidelines for the Management of Patients with Digestive Neuroendocrine Tumours: Well-Differentiated Colon and Rectum Tumour/Carcinoma

Contact Info

Product

Resources

About