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The band and slough technique is effective for management of diminutive type 1 gastric and duodenal neuroendocrine tumors.
- Source :
-
Endoscopy international open [Endosc Int Open] 2020 Jun; Vol. 8 (6), pp. E717-E721. Date of Electronic Publication: 2020 May 25. - Publication Year :
- 2020
-
Abstract
- Background and study aims Endoscopic resection is recommended as initial treatment for early-stage gastric and duodenal neuroendocrine tumors (G-NETs and D-NETs). However, it can cause serious adverse events. We aimed to evaluate the efficacy and safety of the band and slough (BAS) technique as a novel and less aggressive endoscopic therapy for management of such tumors. Four patients, three diagnosed with < 10-mm D-NET and one with 10-mm type I G-NET, were treated with the BAS technique without endoscopic resection. Initial follow-up endoscopy at 3 months was done to assess for residual tumor. Subsequent endoscopic surveillance was performed. After one session of banding, all patients achieved complete remission at 3-month follow-up. No tumor recurrence was detected on repeat biopsy at 12-month surveillance endoscopy. None of the patients developed any adverse events including bleeding or perforation. The BAS technique may prove to be a safe and effective endoscopic therapy for diminutive, non-metastatic type 1 G-NETs and D-NETs. Studies of larger scale and longer follow-up periods are needed to corroborate these findings.<br />Competing Interests: Competing interests Dr. Gunaratnam is a speaker for Nestle Health Science and the Co-founder and Chief Medical Officer for Lean Medial LLC, an endoscopic weight loss device company.
Details
- Language :
- English
- ISSN :
- 2364-3722
- Volume :
- 8
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Endoscopy international open
- Publication Type :
- Academic Journal
- Accession number :
- 32490154
- Full Text :
- https://doi.org/10.1055/a-1119-6698