Open AccessWhich endoscopic treatment is the best for small rectal carcinoid tumors?
Author(s) -
Hyun Ho Choi,
Jin Su Kim,
Dae Young Cheung,
Young-Seok Cho
Publication year - 2013
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v5.i10.487
Subject(s) - medicine , endoscopic mucosal resection , endoscopic submucosal dissection , colonoscopy , polypectomy , surgery , carcinoid tumors , endoscopy , endoscopic treatment , colorectal cancer , radiology , cancer
The incidence of rectal carcinoids is rising because of the widespread use of screening colonoscopy. Rectal carcinoids detected incidentally are usually in earlier stages at diagnosis. Rectal carcinoids estimated endoscopically as < 10 mm in diameter without atypical features and confined to the submucosal layer can be removed endoscopically. Here, we review the efficacy and safety of various endoscopic treatments for small rectal carcinoid tumors, including conventional polypectomy, endoscopic mucosal resection (EMR), cap-assisted EMR (or aspiration lumpectomy), endoscopic submucosal resection with ligating device, endoscopic submucosal dissection, and transanal endoscopic microsurgery. It is necessary to carefully choose an effective and safe primary resection method for complete histological resection.