Conventional snare polypectomy or endoscopic mucosal resection often presents an unsatisfactory result in complete resection of rectal carcinoids. It was perfomed EMR-L with 3D-EUS for rectal carcinoids and compared between EMR-L with 3D-EUS and EMR-L alone. The rate of complete resection and the vertical resection margin has been reported.
A research article to be published on 7 July 2008, in the World Journal of Gastroenterology address this question. This reseach team was led by Prof. Maetani from Division of Gastroenterology, Toho University Ohashi medical center. Conventional snare polypectomy or endoscopic mucosal resection often presents an unsatisfactory result in complete resection of rectal carcinoids. Various endoscopic treatments were demonstrated.reported. Authors perfomed EMR-L with 3D-EUS for rectal carcinoids and compared between EMR-L with 3D-EUS and EMR-L alone.
The rate of complete resection for EMR-L with 3D-EUS and EMR-L alone was 100% and 71%. The vertical resection margin of EMR-L with 3D-EUS was longer than that of EMR-L alone.
EMR-L is effective as an endoscopic treatment for rectal carcinoids. In combination with 3D-EUS, a safe and complete resection is further assured.
Successful outcomes of EMR-L with 3D-EUS in this study demonstrate a new view of good endoscopic technique for rectal carcinoids.