Result of endoscopic resection and treatment strategy including operation for colorectal adenoma and early cancer of 20mm or more in diameter

Nakajima, Koichi; Miyazaki, Shinichi; Aoki, Taito; Okazaki, Yasushi; Sakama, Atsutaka; Inoue, Masahito; Kuboshima, Mari; Horibe, Daisuke; Kakuta, Shinsuke; Kitabayashi, Hiroyuki; Motojima, Ryuji; Makino, Haruhumi; Koda, Keiji; Ochiai, Takenori; Kozu, Teruo

doi:10.11641/pde.68.2_67

Cited by 3 publications

(2 citation statements)

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“…Matsuda et al [29] , Watari et al [33] , 1998 Snare 186 Lateral spreading tumor EMR 12 Sugisaka et al [34] , 2003 Snare 162 No information EMR 13 Matsunaga et al [35] , 1999 Snare 134 No information EMR 14 Nomura et al [36] , 2001 Snare 54 No information EMR 15 Kobayashi et al [37] , 1999 Snare 131 No information EMR 16 Nakajima et al [38] , 2006 Snare 52 No information EMR 17 Cho et al [39] , 1999 Snare 34 No information EMR 18 Saito et al [40] , 2001 Snare 170 Lateral spreading tumor EMR 19 Tanaka et al [13] , 2001 Snare with needle spike 81 Lateral spreading tumor EMR 20 Ahmad et al [41] , 2002 Snare with suction 41 Colon and rectum EMR 21 Hurlstone et al [42] , to be between 7% and 34% for large sessile polyps [6,48] . Further more, our meta-analysis revealed that experience performing EMR plays an important role in achieving a better en-bloc resection and cure en-bloc tumorfree rate.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis and systematic review of colorectal endoscopic mucosal resection

Puli¹,

Kakugawa²,

Gotoda³

et al. 2009

WJG

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AIM:To evaluate the proportion of successful complete cure en-bloc resections of large colorectal polyps achieved by endoscopic mucosal resection (EMR). METHODS:Studies using the EMR technique to resect large colorectal polyps were selected. Successful complete cure en-bloc resection was defined as one piece margin-free polyp resection. Articles were searched for in Medline, Pubmed, and the Cochrane Control Trial Registry, among other sources. RESULTS:An initial search identified 2620 reference articles, from which 429 relevant articles were selected and reviewed. Data was extracted from 25 studies (n = 5221) which met the inclusion criteria. All the studies used snares to perform EMR. Pooled proportion of en-bloc resections using a random effect model was 62.85% (95% CI: 51.50-73.52). The pooled proportion for complete cure en-bloc resections using a random effect model was 58.66% (95% CI: 47.14-69.71). With higher patient load (> 200 patients), this complete cure en-bloc resection rate improves from 44.19% (95% CI:24.31-65.09) to 69.17% (95% CI: 51.11-84.61). CONCLUSION:EMR is an effective technique for the resection of large colorectal polyps and offers an alternative to surgery.

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Section: Discussionmentioning

confidence: 99%

Meta-analysis and systematic review of colorectal endoscopic mucosal resection

Puli¹,

Kakugawa²,

Gotoda³

et al. 2009

WJG

View full text Add to dashboard Cite

show abstract

“…Stage 0 tumors may be treated with removal of the lesion and/or radiation therapy [13][14][15]. ESD has emerged as an alternative to local surgical resection techniques utilized to remove rectal cancers confined to the mucosa (T0) [16][17][18][19][20][21][22]. Stage I lesions may be treated with surgical excision alone, either a low abdominal resection or abdominal perineal resection depending on the location of the lesion, radiation therapy alone, or combination of surgery and radiation [13,14,23,24].…”

Section: Introductionmentioning

confidence: 99%