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The Investigation And Management Of Rectal Neuroendocrine Tumors | 81873
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

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The investigation and management of rectal neuroendocrine tumors

11th World Gastroenterologists Summit

Raj Srirajaskanthan

Kings College Hospital, UK

Posters & Accepted Abstracts: J Gastrointest Dig Syst

DOI: 10.4172/2161-069X-C1-062

Abstract
Rectal neuroendocrine tumors (NETs) are increasingly identified at endoscopy the cause of which may be in part related to bowel cancer screening programs. This lecture will aid clinicians in the diagnosis and management of rectal NETs plus cutting edge advances in treatment. Whilst most rectal NETs are <1 cm there are specific endoscopic characteristics to help diagnose these tumors and also determine optimal management. These include size, atypical appearance, grade and depth of invasion. The primary resection modality influences complete resection rates and the need for secondary therapy. A thorough pre-resection diagnostic work up is required for lesions that are at higher risk of invasion and metastasis. Device-assisted endoscopic mucosal resection (EMR) and endoscopic sub-mucosal dissection (ESD) are used to resect localized rectal NETs <2 cm. The treatment of advanced disease is multi-modal.
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