Efficacy and Safety of Endoscopic Resection Therapies for Rectal Carcinoid Tumors: A Meta-Analysis
Yonsei Medical Journal
;
: 72-81, 2015.
Article
in English
| WPRIM
| ID: wpr-201308
ABSTRACT
PURPOSE:
Several endoscopic resection therapies have been applied for the treatment of rectal carcinoid tumors. However, there is currently no consensus regarding the optimal strategy. We performed a meta-analysis to compare the efficacy and safety of endoscopic mucosal resection (EMR) or modified EMR (m-EMR) versus endoscopic submucosal dissection (ESD) for the treatment of rectal carcinoid tumors. MATERIALS ANDMETHODS:
PubMed, Web of Science, Medline, Embase and CNKI were searched up to the end of January 2014 in order to identify all studies on the effects of EMR (or m-EMR) and ESD on rectal carcinoid tumors.RESULTS:
A total of fourteen studies involving 782 patients were included. The pooled data suggested a significantly higher rate of pathological complete resection among patients treated with ESD or m-EMR than those treated with EMR [odds ratio (OR)=0.42, 95% confidence interval (CI) 0.25-0.71; OR=0.10, 95% CI 0.03-0.33, respectively], while there was no significant difference between the m-EMR group and ESD group (OR=1.19, 95% CI 0.49-2.86); The procedure time of ESD was longer than EMR or m-EMR groups [mean differences (MD)=-11.29, 95% CI -14.19 - -8.38, MD= -10.90, 95% CI -18.69 - -3.11, respectively], but it was insignificance between the EMR and m-EMR groups. No significant differences were detected among the treatment groups with regard to complications or recurrence.CONCLUSION:
The results of this meta-analysis suggest that treatment of rectal carcinoid tumors with ESD or m-EMR is superior to EMR, and the efficacy of m-EMR is equivalence to ESD treatment. However, more well-designed studies are needed to confirm these findings.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Rectal Neoplasms
/
Time Factors
/
Carcinoid Tumor
/
Endoscopy, Gastrointestinal
/
Treatment Outcome
/
Publication Bias
/
Tumor Burden
/
Dissection
/
Intestinal Mucosa
Type of study:
Prognostic study
/
Systematic reviews
Limits:
Humans
Language:
English
Journal:
Yonsei Medical Journal
Year:
2015
Type:
Article
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