Viability of endoscopic and excisional treatment of early rectal carcinoids

Anders Merg, Debrah Wirtzfeld, Jiping Wang, Richard Cheney, Kelli Bullard Dunn, Ashwani Rajput

Research output: Contribution to journalArticlepeer-review

Abstract

With the advent of endoscopy, the incidence of rectal carcinoid tumors has not only risen, but the majority are localized at presentation. This has led to excisional and/or ablative therapy in lieu of radical resections. A single institute's experience with rectal carcinoids was reviewed to determine the impact this approach has had on outcomes, and evaluate any selection criteria for optimizing patient survival. A single institute's tumor registry was retrospectively queried, identifying 14 patients with rectal carcinoid tumors over a 28-year period. The mean age at diagnosis was 52.1∈±∈14. 4 years. Six of the 14 patients were female. Presenting symptoms included a change in bowel habits in six (38%), rectal bleeding in six (38%), and abdominal pain or distention in five (31%) patients. No patient had symptoms consistent with carcinoid syndrome. The rectal carcinoids were a mean 9. 2∈±∈3.4 cm from the anal verge and a mean 9∈±∈ 6 mm in size. Endoscopic and/or transanal excision/fulguration techniques treated 11 (79%) patients, whereas two (14%) patients underwent a low anterior resection (LAR). Surveillance entailed periodic endoscopy for a median 65 months (range 8-281). No patient developed recurrent carcinoid disease for a 20-year overall survival of 70%.

Original languageEnglish (US)
Pages (from-to)893-897
Number of pages5
JournalJournal of Gastrointestinal Surgery
Volume11
Issue number7
DOIs
StatePublished - Jul 2007
Externally publishedYes

Keywords

  • Carcinoid tumors
  • Rectum
  • Treatment

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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