Topical endoscopic methods for the removal of laterally spreading tumors — LST of the colon
https://doi.org/10.31146/1682-8658-ecg-201-5-92-96
Abstract
The aim: to evaluate the efficacy and safety of endoscopic removal of laterally spreading tumors—LST of the colon by pEMR.
Materials and methods: analysis of data obtained during endoscopic treatment of colon LST and dynamic observation of patients.
Results: after analyzing and systematizing the data obtained, the advantages and disadvantages of pEMR for colon LST removal are clarified.
Conclusion: if the correct technique of performing pEMR is observed, visual assessment of the completeness of resection and subsequent careful dynamic observation, removal of LST of the colon by pEMR is effective and safe, and can be used in conditions of unavailability of the ESD technique.
About the Authors
E. A. Solovev
Multidisciplinary medical center of the Bank of Russia
Russian Federation
Russian Federation
Egor A. Solovev, endoscopist
117647, Moscow, Sebastopol Ave., 66
T. V. Kovalenko
Multidisciplinary medical center of the Bank of Russia; RUDN University
Russian Federation
Russian Federation
Tatyana V. Kovalenko, head of the endoscopic department
117647, Moscow, Sebastopol Ave., 66
115419, Moscow, Ordzhonikidze street, 3
V. A. Duvanskiy
Skobelkin state scientific center of laser medicine; RUDN University
Russian Federation
Russian Federation
Vladimir A. Duvanskiy, professor, Deputy Director for Research, Head of the Department of Endoscopic Surgery; Head of the Department of Endoscopy, Endoscopic and Laser Surgery
Scopus Author ID: 6505911424
121165, Moscow, Studencheskaya street, 40
115419, Moscow, Ordzhonikidze street, 3
References
1. Freddie B., Jacques F., Isabelle S., et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424.
2. Kaprin A.D., Starinsky V. V., Shakhzadova A. O. State of cancer care for the population of Russia in 2019. Moscow: p. A. Herzen Moscow research Institute-branch of the Federal state budgetary institution “NMIC of radiology” of the Ministry of health of Russia, 2020, 239 p.
3. Ageykina N.V., Duvanskiy V. A., Kniazev M. V.. An alternative pathway of colorectal cancer development. Endoscopic and morphological features of serrated lesions. Review. Eksp Klin Gastroenterol. 2013;(8):3–10. Russia. PMID:24933941.
4. Ageykina N.V., Duvanskiy V. A., Kniazev M. V., et al. The alternative way of colorectal cancer developing. The histogenetic and molecular features of serrated lesions (review, continued). Eksp Klin Gastroenterol. 2014;(7):4–12. Russian. PMID:25842399.
5. Kashin S. V. Modern aspects of performing colonoscopy for screening of polyps and colorectal cancer. Evidencebased gastroenterology. 2014;(3):57–67. (in Russ.)
6. Kudo S.e., Lambert R., Allen J. I., et al. Nonpolypoid neoplastic lesions of the colorectal mucosa. Gastrointest Endosc. 2008;68(4 Suppl): S3-S47. doi:10.1016/j.gie.2008.07.052
7. Uraoka T., Saito Y., Matsuda T., et al. Endoscopic indications for endoscopic mucosal resection of laterally spreading tumours in the colorectum. Gut. 2006;55(11):1592–1597. doi:10.1136/gut.2005.087452
8. Duvanskiy V. A., Chesalina Y. O. Advanced endoscopic technologies for detection of colorectal neoplasms. Experimental and Clinical Gastroenterology. 2019;(4):93–99. (In Russ.) doi:10.31146/1682–8658-ecg-164–4–93–99
9. Shuleshova A.G., Brekhov E. I., Zavyalov M. O., et el. Confocal laser endomicroscopy in the diagnosis of gastric neoplasia. Endoscopic surgery. 2014;5:24–30. (in Russ.)
10. Knyazev M.V., Duvansky V. A., Ageikina N. V. Trimodal endoscopy in the diagnosis of diseases of the gastrointestinal tract. Clinical endoscopy. 2012;4:2. (in Russ.)
11. Tanaka S., Kashida H., Saito Y., et al. Japan Gastroenterological Endoscopy Society guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection. Dig Endosc. 2020. vol. 32, no. 2. pp. 219–239.
12. Knyazev M.V., Duvansky V. A. Endoscopic treatment of gastrointestinal neoplasms – evolution of the method. Bulletin of surgery named After I. I. Grekov. 2015;174(2):130–134. (in Russ.)
13. Saito Y., Uraoka T., Yamaguchi Y., et al. A prospective, multicenter study of 1111 colorectal endoscopic submucosal dissections (with video). Gastrointest Endosc. 2010;72(6):1217–1225. doi:10.1016/j.gie.2010.08.004
14. Yang D., Othman M., Draganov P. V. Endoscopic Mucosal Resection vs Endoscopic Submucosal Dissection For Barrett’s Esophagus and Colorectal Neoplasia. Clin Gastroenterol Hepatol. 2019;17(6):1019–1028. doi:10.1016/j.cgh.2018.09.030
15. Knyazev M.V., Duvanskiy V. A.. Endoscopic mucosal resection with sbmucosal dissection ESD and the fist long-term results of applying thismethod. Eksp Klin Gastroenterol. 2015;(4):53–8. Russian. PMID:26415266.
16. Kobayashi N., Yoshitake N., Hirahara Y., et al. Matched case-control study comparing endoscopic submucosal dissection and endoscopic mucosal resection for colorectal tumors. J Gastroenterol Hepatol. 2012;27(4):728–733. doi:10.1111/j.1440–1746.2011.06942.x
17. Kim Y.J., Kim E. S., Cho K. B., et al. Comparison of clinical outcomes among different endoscopic resection methods for treating colorectal neoplasia. Dig Dis Sci. 2013;58(6):1727–1736. doi:10.1007/s10620–013–2560-x
18. Zhao H.J., Yin J., Ji C. Y., Wang X., Wang N. Endoscopic mucosal resection versus endoscopic submucosal dissection for colorectal laterally spreading tumors: a meta-analysis. Rev Esp Enferm Dig. 2020;112(12):941–947. doi:10.17235/reed.2020.6681/2019
Review
For citations:
Solovev E.A., Kovalenko T.V., Duvanskiy V.A. Topical endoscopic methods for the removal of laterally spreading tumors — LST of the colon. Experimental and Clinical Gastroenterology. 2022;(5):92-96. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-201-5-92-96
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