Efficacy of Endoscopic Mucosal Resection for Management of Small Duodenal Neuroendocrine Tumors

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dc.contributor.author Azar, Riad R.
dc.contributor.author Shroff, Sagar R.
dc.contributor.author Kushnir, Vladimir M.
dc.contributor.author Wani, Sachin B.
dc.contributor.author Gupta, Neil
dc.contributor.author Jonnalagadda, Sreenivasa S.
dc.contributor.author Murad, Faris
dc.contributor.author Early, Dayna S.
dc.contributor.author Mullady, Daniel K.
dc.contributor.author Edmundowicz, Steven A.
dc.date.accessioned 2016-10-07T12:57:13Z
dc.date.available 2016-10-07T12:57:13Z
dc.date.copyright 2015 en_US
dc.date.issued 2016-10-07
dc.identifier.issn 1534-4908 en_US
dc.identifier.uri http://hdl.handle.net/10725/4534
dc.description.abstract Background: Endoscopic mucosal resection (EMR) for small (<20 mm) duodenal neuroendocrine tumors (NETs) remains controversial because of their rarity. Materials and Methods: This is a retrospective cohort study of patients with surgically or endoscopically resected duodenal NETs from 2001 to 2011. The primary outcome is the rate of disease-free status following resection. A secondary outcome is the sensitivity of endoscopic ultrasound (EUS) in determining NET appropriateness for EMR. Results: Thirty patients underwent resection of duodenal NETs (EMR 20, surgery 10). Tumor was present at the margins in 40% of EMR-resected NETs and 10% of surgically resected NETs. Five patients who underwent EMR had residual disease treated with repeat EMR (3) and surgery (2). EUS demonstrated 96% sensitivity in determining lesions limited to the submucosa. Conclusions: EMR for small duodenal NETs can be a safe and effective alternative to surgery in carefully selected patients. EUS is a useful adjunct in determining depth of invasion for duodenal NETs. en_US
dc.language.iso en en_US
dc.title Efficacy of Endoscopic Mucosal Resection for Management of Small Duodenal Neuroendocrine Tumors en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 200902767 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Surgical Laparoscopy, Endoscopy and Percutaneous Techniques en_US
dc.journal.volume 25 en_US
dc.journal.issue 5 en_US
dc.article.pages e134–e139 en_US
dc.identifier.doi http://dx.doi.org/10.1097/SLE.0000000000000192 en_US
dc.identifier.ctation Shroff, S. R., Kushnir, V. M., Wani, S. B., Gupta, N., Jonnalagadda, S. S., Murad, F., ... & Azar, R. R. (2015). Efficacy of Endoscopic Mucosal Resection for Management of Small Duodenal Neuroendocrine Tumors. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 25(5), e134-e139. en_US
dc.author.email riad.azar@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://journals.lww.com/surgical-laparoscopy/Abstract/2015/10000/Efficacy_of_Endoscopic_Mucosal_Resection_for.18.aspx en_US

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