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Capogreco A, Hassan C, De Blasio F, Massimi D, de Sire R, Galtieri PA, Despott EJ, Alkandari A, Bhandari P, Facciorusso A, Maselli R, Repici A. Prophylactic underwater vessel coagulation for submucosal endoscopy. Gut 2024; 73:1049-1051. [PMID: 38383144 DOI: 10.1136/gutjnl-2024-332002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Accepted: 02/14/2024] [Indexed: 02/23/2024]
Affiliation(s)
- Antonio Capogreco
- Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Lombardia, Italy
| | - Cesare Hassan
- Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Lombardia, Italy
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
| | - Federico De Blasio
- Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Lombardia, Italy
| | - Davide Massimi
- Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Lombardia, Italy
| | - Roberto de Sire
- Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Lombardia, Italy
| | | | - Edward John Despott
- Royal Free Unit for Endoscopy, Centre for Gastroenterology, Royal Free Hospital, London, UK
| | - Asma Alkandari
- Thanyan Alghanim Gastroenterolgy and Hepatology Center, Amiri Hospital, Kuwait City, Kuwait
| | - Pradeep Bhandari
- Department of Gastroenterology, Portsmouth Hospitals University NHS Trust, Portsmouth, UK
| | - Antonio Facciorusso
- Department of Medical Sciences, Section of Gastroenterology, Università degli Studi di Foggia, Foggia, Puglia, Italy
| | - Roberta Maselli
- Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Lombardia, Italy
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
| | - Alessandro Repici
- Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Lombardia, Italy
- Department of Biomedical Sciences, Humanitas University, Milan, Italy
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Binda C, Secco M, Tuccillo L, Coluccio C, Liverani E, Jung CFM, Fabbri C, Gibiino G. Early Rectal Cancer and Local Excision: A Narrative Review. J Clin Med 2024; 13:2292. [PMID: 38673565 PMCID: PMC11051053 DOI: 10.3390/jcm13082292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Revised: 04/03/2024] [Accepted: 04/10/2024] [Indexed: 04/28/2024] Open
Abstract
A rise in the incidence of early rectal cancer consequent to bowel-screening programs around the world and an increase in the incidence in young adults has led to a growing interest in organ-sparing treatment options. The rectum, being the most distal portion of the large intestine, is a fertile ground for local excision techniques performed with endoscopic or surgical techniques. Moreover, the advancement in endoscopic optical evaluation and the better definition of imaging techniques allow for a more precise local staging of early rectal cancer. Although the local treatment of early rectal cancer seems promising, in clinical practice, a significant number of patients who could benefit from local excision techniques undergo total mesorectal excision (TME) as the first approach. All relevant prospective clinical trials were identified through a computer-assisted search of the PubMed, EMBASE, and Medline databases until January 2024. This review is dedicated to endoscopic and surgical local excision in the treatment of early rectal cancer and highlights its possible role in current and future clinical practice, taking into account surgical completion techniques and chemoradiotherapy.
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Affiliation(s)
| | | | | | | | | | | | - Carlo Fabbri
- Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, 47121 Forlì, Italy; (C.B.); (M.S.); (L.T.); (C.C.); (E.L.); (C.F.M.J.); (G.G.)
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