Atypical endoscopic features of rectal carcinoids.

Abstract:

BACKGROUND AND STUDY AIMS:It is not normally difficult to diagnose carcinoid tumors (well-differentiated endocrine neoplasms) of the rectum endoscopically, as they usually have a characteristic appearance. However, little is known about the atypical endoscopic findings in some rectal carcinoids and the present study was performed to analyze these. PATIENTS AND METHODS:The endoscopic findings in 67 consecutive patients with rectal carcinoids (37 men, 30 women; age range 23 - 76) were analyzed retrospectively. RESULTS:Tumor size ranged from 2 mm to 30 mm (average 7.4 mm). Of the 67 patients, 52 (78 %) displayed the characteristic endoscopic findings of smooth, round, sessile elevations covered with normal-appearing or yellow-discolored mucosa; in 15 (22 %) there were one or more atypical endoscopic findings. These included a semipedunculated appearance (n = 6), hyperemia (n = 5), a central depression (n = 6), erosion (n = 5), and ulceration (n = 4). Atypical findings were noted in none of 20 carcinoids &lambda< 5 mm in diameter; in six (20 %) of the 30 carcinoids between 5 mm and 9 mm; in six (43 %) of the 14 carcinoids between 10 mm and 19 mm; and in three (100 %) of the three carcinoids >/= 20 mm in diameter ( P < 0.001). Invasion into the muscularis propria or metastasis to the liver or lymph nodes occurred in three of the four patients with ulceration, but it was confirmed in only one of the 63 patients without ulceration ( P < 0.001). CONCLUSIONS:Atypical endoscopic appearances of rectal carcinoids are observed more frequently as the size of the tumor increases and a finding of ulceration may have a prognostic value.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Shim KN,Yang SK,Myung SJ,Chang HS,Jung SA,Choe JW,Lee YJ,Byeon JS,Lee JH,Jung HY,Hong WS,Kim JH,Min YI,Kim JC,Kim JS

doi

10.1055/s-2004-814202

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

313-6

issue

4

eissn

0013-726X

issn

1438-8812

journal_volume

36

pub_type

杂志文章
  • Familial varices of the small and large bowel.

    abstract::Two familial cases of varices confined to the small and the large bowel are reported. Both patients were diagnosed in advanced age because of recurrent intestinal bleeding. The study of the entire gastrointestinal tract revealed an unexpected wide involvement and the primary nature of the varices. Moreover, both patie...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010283

    authors: Morini S,Caruso F,De Angelis P

    更新日期:1993-02-01 00:00:00

  • Endoscopic injection of botulinum toxin for biliary sphincter of Oddi dysfunction.

    abstract:BACKGROUND AND STUDY AIMS:Endoscopic sphincterotomy is not without risks, and is also ineffective in about half of patients with type III sphincter of Oddi dysfunction (SOD), i.e. those without clinical evidence of biliary obstruction (normal liver tests, normal bile duct diameter, and regular drainage time at endoscop...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2007-1001392

    authors: Wehrmann T,Seifert H,Seipp M,Lembcke B,Caspary WF

    更新日期:1998-10-01 00:00:00

  • Effect of drug-eluting metal stents in benign esophageal stricture: an in vivo animal study.

    abstract:BACKGROUND AND STUDY AIMS:The aim of this study in canines was to investigate the effectiveness and safety of self-expandable metal stents, which were coated with paclitaxel to minimize the tissue response. MATERIALS AND METHODS:14 dogs (5-10 kg) were randomly allocated to two groups. Drug-eluting stents (DES, n = 7) ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1214607

    authors: Jeon SR,Eun SH,Shim CS,Ryu CB,Kim JO,Cho JY,Lee JS,Lee MS,Jin SY

    更新日期:2009-05-01 00:00:00

  • Gastrointestinal intramural hematoma, a complication of endoscopic injection methods for bleeding peptic ulcers: a case series.

    abstract::In a prospective study, all patients with peptic ulcer bleeding were documented between February 1984 and April 1992. A total of 227 patients were treated by local injection of epinephrine followed by laser application and injection of polidocanol or fibrin tissue adhesive. In five of these patients, intramural hemato...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1009050

    authors: Rohrer B,Schreiner J,Lehnert P,Waldner H,Heldwein W

    更新日期:1994-09-01 00:00:00

  • EUS-guided tissue sampling: comparison of "dual sampling" (Trucut biopsy plus FNA) with "sequential sampling" (Trucut biopsy and then FNA as required).

    abstract:BACKGROUND AND STUDY AIMS:Both endoscopic ultrasound- (EUS-) guided tissue sampling techniques, fine-needle aspiration (FNA) and Trucut biopsy, have advantages and limitations. The aim of this study was to develop a strategy of combining these two EUS-guided sampling techniques in order to maximize the diagnostic accur...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2007-966400

    authors: Aithal GP,Anagnostopoulos GK,Tam W,Dean J,Zaitoun A,Kocjan G,Ragunath K,Pereira SP

    更新日期:2007-08-01 00:00:00

  • High definition colonoscopy vs. standard video endoscopy for the detection of colonic polyps: a meta-analysis.

    abstract:BACKGROUND AND STUDY AIMS:High definition colonoscopy may improve adenoma detection rates but studies report conflicting results. The aim of this meta-analysis was to compare the diagnostic yield of colonic polyps between high definition colonoscopy and standard video endoscopy (SVE). METHODS:Various electronic databa...

    journal_title:Endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-0030-1256207

    authors: Subramanian V,Mannath J,Hawkey CJ,Ragunath K

    更新日期:2011-06-01 00:00:00

  • High-resolution magnification endoscopy can reliably identify normal gastric mucosa, Helicobacter pylori-associated gastritis, and gastric atrophy.

    abstract:BACKGROUND AND STUDY AIMS:The aims of the study were to describe the magnified endoscopic findings in the gastric body, correlate these with histology, and evaluate their reproducibility in the assessment of the magnified endoscopic patterns seen. PATIENTS AND METHODS:A total of 95 consecutive dyspeptic patients under...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2006-945056

    authors: Anagnostopoulos GK,Yao K,Kaye P,Fogden E,Fortun P,Shonde A,Foley S,Sunil S,Atherton JJ,Hawkey C,Ragunath K

    更新日期:2007-03-01 00:00:00

  • Endoscopic full-thickness resection (eFTR) of colorectal lesions: results from the Dutch colorectal eFTR registry.

    abstract:BACKGROUND:Endoscopic full-thickness resection (eFTR) is a minimally invasive resection technique that allows definite diagnosis and treatment for complex colorectal lesions ≤ 30 mm unsuitable for conventional endoscopic resection. This study reports clinical outcomes from the Dutch colorectal eFTR registry. METHODS:C...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/a-1176-1107

    authors: Zwager LW,Bastiaansen BAJ,Bronzwaer MES,van der Spek BW,Heine GDN,Haasnoot KJC,van der Sluis H,Perk LE,Boonstra JJ,Rietdijk ST,Wolters HJ,Weusten BLAM,Gilissen LPL,Ten Hove WR,Nagengast WB,Bekkering FC,Schwartz MP,Terha

    更新日期:2020-11-01 00:00:00

  • Novel over-the-scope-clip system for gastrotomy closure in natural orifice transluminal endoscopic surgery (NOTES): an ex vivo comparison study.

    abstract:BACKGROUND AND STUDY AIMS:Secure transluminal closure remains a fundamental barrier to clinical introduction of natural orifice transluminal endoscopic surgery (NOTES). Current NOTES closure modalities either do not provide secure closure or are too challenging to apply in vivo. The aims of this study were to evaluate ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1215231

    authors: Voermans RP,van Berge Henegouwen MI,Bemelman WA,Fockens P

    更新日期:2009-12-01 00:00:00

  • Laparoscopic findings in two adults with chickenpox.

    abstract::We report the laparoscopic findings in two previously healthy adults with chickenpox and hepatic involvement. Both patients were admitted to hospital with severe upper right quadrant abdominal pain coinciding with the skin rash. Liver function tests were abnormal. In case 1, round lesions with a necrotic center, 2 mm ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018138

    authors: Uribarrena R,Garcíla-Bragado F,Jiménez C,Pérez C,Rivero-Puente A

    更新日期:1988-03-01 00:00:00

  • Postoperative biliocutaneous fistula: successful treatment by insertion of an endoprosthesis.

    abstract::An elderly patient with a postoperative biliocutaneous fistula, the persistence of which was due to an unrecognized fibro-malignant stricture of the distal common bile duct, was treated by the insertion of an endoscopic biliary endoprosthesis. Immediately after the procedure, bile discharge through the fistula ceased ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018224

    authors: van Steenbergen W,Haemers A,Pelemans W,Ponette E,Vanwing J,Verbeken E,Fevery J

    更新日期:1987-01-01 00:00:00

  • Diminutive colonic polyps--clinical significance and management.

    abstract::Of 300 diminutive polyps (up to 5 mm) found at colonoscopy, 114 were neoplastic (37 per cent) and thus possible precursors of carcinoma. This suggests that all colonic polyps, regardless of size, should if possible be extirpated or coagulated. As polyps of this small size often escape detection roentgenologically, esp...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098322

    authors: Granqvist S,Gabrielsson N,Sundelin P

    更新日期:1979-02-01 00:00:00

  • Prospective evaluation of patient tolerability, satisfaction with patient information, and complications in endoscopic ultrasonography.

    abstract:BACKGROUND AND STUDY AIMS:Prospective data are lacking on the safety of endoscopic ultrasonography (EUS) and on patient satisfaction with the procedure. We prospectively recorded complications related to EUS in order to establish morbidity and mortality. In addition the levels of patient satisfaction were evaluated, wi...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-861142

    authors: Mortensen MB,Fristrup C,Holm FS,Pless T,Durup J,Ainsworth AP,Nielsen HO,Hovendal C

    更新日期:2005-02-01 00:00:00

  • Impact of the COVID-19 pandemic on gastrointestinal endoscopy in the Netherlands: analysis of a prospective endoscopy database.

    abstract:BACKGROUND: COVID-19 has dramatically affected gastrointestinal endoscopy practice. We aimed to investigate its impact on procedure types, indications, and findings. METHODS: We retrospectively analyzed endoscopies performed in 15 Dutch hospitals by comparing periods 15 March to 25 June of 2019 and 2020 using the pros...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-1272-3788

    authors: Lantinga MA,Theunissen F,Ter Borg PCJ,Bruno MJ,Ouwendijk RJT,Siersema PD,Trans.IT foundation study group.

    更新日期:2021-02-01 00:00:00

  • Prevalence of Helicobacter pylori antibodies in the serum of gastroenterologists in Austria.

    abstract::Eighty-eight endoscopists (mean age 41 years, range 29-76 years) and a control group of 100 persons of similar ages were investigated for the prevalence of antibodies (ABs) to Helicobacter pylori, using a quantitative enzyme-linked immunosorbent assay (ELISA) to IgG, two semiquantitative ELISAs to IgG and IgA, and a l...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1009067

    authors: Pristautz H,Eherer A,Brezinschek R,Truschnig-Wilders M,Petritsch W,Schreiber F,Hammer HF,Wenzl H,Hinterleitner T,Reicht G

    更新日期:1994-10-01 00:00:00

  • Routine use of transrectal ultrasound in rectal carcinoma: results of a prospective multicenter study.

    abstract:BACKGROUND AND STUDY AIMS:Preoperative transrectal ultrasound (TRUS) can establish the depth of penetration of a tumor, and thus provide important information for decisions about further management. In the literature, this method is reported to have a high level of sensitivity and specificity. Our investigation aimed a...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2002-25292

    authors: Marusch F,Koch A,Schmidt U,Zippel R,Kuhn R,Wolff S,Pross M,Wierth A,Gastinger I,Lippert H

    更新日期:2002-05-01 00:00:00

  • Endoscopic injection of ethanolamine as a treatment for achalasia: a first report.

    abstract:BACKGROUND AND STUDY AIMS:The present study aimed to test the hypothesis that endoscopic sclerotherapy may effectively reduce the occurrence of spasm at the level of the gastric cardia, offering an effective treatment for achalasia. PATIENTS AND METHODS:We prospectively treated 33 achalasia patients by repeated inject...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2007-1005551

    authors: Moretó M,Ojembarrena E,Rodríguez ML

    更新日期:1996-09-01 00:00:00

  • Methylene blue dye spraying method in patients with ulcerative proctitis: a comparative study with morphological findings and functional capacity of the rectal epithelium.

    abstract::Methylene Blue dye spraying method is currently used in the endoscopic assessment of the colonic mucosa of patients with chronic ulcerative proctocolitis. We have assessed the validity of this method in the evaluation of the functional capacity of the rectal mucosa in 17 patients with ulcerative proctitis and in 5 nor...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098348

    authors: Baldi F,di Febo G,Biasco G,Gizzi G,Ferrarini F,Milazzo G,Barbara L

    更新日期:1979-09-01 00:00:00

  • Endoscopic ultrasound as an early diagnostic tool for primary sclerosing cholangitis: a prospective pilot study.

    abstract:BACKGROUND AND STUDY AIMS:Primary sclerosing cholangitis (PSC) is a rare, chronic cholestatic liver disease, which typically affects middle-aged men and is frequently associated with inflammatory bowel disease. Early recognition and accurate diagnosis remains a clinical challenge. Invasive diagnostic procedures, such a...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0032-1309896

    authors: Lutz HH,Wasmuth HE,Streetz K,Tacke F,Koch A,Luedde T,Trautwein C,Tischendorf JJ

    更新日期:2012-10-01 00:00:00

  • Electronic endoscopy--the latest technology.

    abstract::At present, video endoscopic systems (VE) are available from four companies. We have had an opportunity to test these instruments in clinical practice. In principle, all the VE's are similar in that they employ charge coupling devices (CCD-chips) as image sensors, but they differ significantly in CCD chip technology a...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018255

    authors: Classen M,Knyrim K,Seidlitz HK,Hagenmüller F

    更新日期:1987-05-01 00:00:00

  • Laser-induced shockwave lithotripsy of gallstones.

    abstract::With the aid of a Q-switched Nd:YAG laser with energy transmission via a flexible glass fiber, it proves possible under laboratory conditions, to destroy gallstones reliably and reproducibly. Lithotripsy is effected mechanically via a laser-induced local shockwave. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018340

    authors: Ell C,Wondrazek F,Frank F,Hochberger J,Lux G,Demling L

    更新日期:1986-05-01 00:00:00

  • Gut perforation caused by biliary endoprosthesis.

    abstract::Two cases are reported of perforation of the gut caused by biliary endoprosthesies in the three-year period 1993-1995. The first patient was an 81-year-old man who had perforation of the terminal ileum caused by a straight 10 French/7 cm stent which had been dislodged from the bile duct; he underwent laparotomy but di...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-87

    authors: Størkson RH,Edwin B,Reiertsen O,Faerden AE,Sortland O,Rosseland AR

    更新日期:2000-01-01 00:00:00

  • A prospective, randomized comparison of the ease and safety of variceal ligation using a multiband vs. a conventional ligation device.

    abstract:BACKGROUND AND STUDY AIMS:Recent advances in endoscopic technology have led to the development of multiple-banding devices which avoid the use of an overtube in endoscopic variceal ligation. In the present study we prospectively examined the safety and efficacy of one such device compared with the conventional single-b...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2000-9617

    authors: Wong T,Pereira SP,McNair A,Harrison PM

    更新日期:2000-12-01 00:00:00

  • European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition--Communication.

    abstract::Multidisciplinary, evidence-based guidelines for quality assurance in colorectal cancer screening and diagnosis have been developed by experts in a project coordinated by the International Agency for Research on Cancer. The full guideline document covers the entire process of population-based screening. It consists of...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/s-0032-1309809

    authors: Austoker J,Giordano L,Hewitson P,Villain P,International Agency for Research on Cancer.

    更新日期:2012-09-01 00:00:00

  • Overcoming the barriers to dissemination and implementation of quality measures for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) position statement.

    abstract::The European Society of Gastrointestinal Endoscopy (ESGE) has developed performance measures and established a framework for quality assessment for gastrointestinal endoscopy in Europe. Most national societies actively undertake initiatives to implement and explicitly endorse these quality indicators. Given this, ESGE...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-1312-6389

    authors: Bisschops R,Rutter MD,Areia M,Spada C,Domagk D,Kaminski MF,Veitch A,Khannoussi W,Gralnek IM,Hassan C,Messmann H,Ponchon T,Fockens P,Dignass A,Dinis-Ribeiro M

    更新日期:2021-02-01 00:00:00

  • Antibiotic prophylaxis of infective endocarditis during digestive endoscopy: over- and underuse in Switzerland despite professed adherence to guidelines.

    abstract:BACKGROUND AND STUDY AIMS:Guidelines for antibiotic prophylaxis of infective endocarditis associated with gastrointestinal endoscopy are not uniform. Though based on weak scientific evidence, they do represent an attempt to unify the management of antibiotic prophylaxis. We investigated whether physicians who profess t...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2002-23634

    authors: Roduit J,Jornod P,Dorta N,Blum AL,Dorta G

    更新日期:2002-04-01 00:00:00

  • First data on the Evolution duodenal stent for palliation of malignant gastric outlet obstruction (DUOLUTION study): a prospective multicenter study.

    abstract:BACKGROUND AND STUDY AIMS:Enteral stent placement has emerged as a safe and effective palliative treatment option for patients with malignant gastric outlet obstruction (GOO). In an attempt to further optimize this treatment new enteral stents have been designed. This study is the first to describe the results regardin...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1055/s-0032-1326077

    authors: van den Berg MW,Haijtink S,Fockens P,Vleggaar FP,Dijkgraaf MG,Siersema PD,van Hooft JE

    更新日期:2013-01-01 00:00:00

  • Percutaneous transhepatic cholangioscopy for indeterminate biliary strictures using the SpyGlass system: a case series.

    abstract::Peroral cholangioscopy is useful in differentiating benign from malignant biliary strictures. However, when conventional biliary access via endoscopic retrograde cholangiopancreatography (ERCP) fails, percutaneous transhepatic cholangioscopy (PTCS) via the SpyGlass cholangioscopy system can be used to achieve a diagno...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1392527

    authors: Du L,D'Souza P,Thiesen A,Girgis S,Owen R,McNally D,Sarlieve P,Sandha G

    更新日期:2015-11-01 00:00:00

  • Improved endoscopic stenting for malignant dysphagia using Tygon plastic prostheses.

    abstract:BACKGROUND AND STUDY AIMS:Endoscopic palliative treatment of malignant esophageal stenosis using conventional plastic stents has been reported to be associated with a considerable risk of perforation. Stenoses with a distance of less than 2cm from the upper esophageal sphincter (UES) have generally been excluded from t...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1001338

    authors: Bohnacker S,Thonke F,Hinner M,Seitz U,Binmoeller KF,Brand B,Rathod VD,Soehendra N

    更新日期:1998-08-01 00:00:00

  • Argon plasma coagulation in the treatment of Barrett's high-grade dysplasia and in situ adenocarcinoma.

    abstract:BACKGROUND AND STUDY AIMS:Endoscopic therapy of high-grade dysplasia (HGD) and superficial adenocarcinoma associated with Barrett's esophagus (BE), using Nd:YAG laser, KTP laser, or photodynamic therapy (PDT), has been reported to be effective in a curative role. Argon plasma coagulation (APC) appears to be effective i...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2001-12803

    authors: Van Laethem JL,Jagodzinski R,Peny MO,Cremer M,Devière J

    更新日期:2001-03-01 00:00:00