{"title":"内镜下粘膜下切除术联合结扎装置治疗小儿直肠神经内分泌肿瘤。","authors":"Ryosuke Miyamoto, Hitoshi Honma, Yu Masuda, Tomoya Sugiyama, Satoshi Ono, Akihisa Okumura","doi":"10.14309/crj.0000000000001669","DOIUrl":null,"url":null,"abstract":"<p><p>A 13-year-old boy with a 3-month history of diarrhea was successfully treated for a rectal neuroendocrine tumor (NET) using endoscopic submucosal resection with ligation (ESMR-L). Rectoscopy revealed a submucosal tumor in the lower rectum, diagnosed as a rectal NET upon pathological examination. ESMR-L resulted in complete tumor resection without complications. Pathological examination confirmed a 6-mm low-grade NET with no vascular invasion or positive tumor margins. The patient was discharged without complications. This case study indicates that ESMR-L can be applied to rectal NET in children, necessitating further investigation on its efficacy and safety in more patients.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 4","pages":"e01669"},"PeriodicalIF":0.6000,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984764/pdf/","citationCount":"0","resultStr":"{\"title\":\"Endoscopic Submucosal Resection With a Ligation Device for Pediatric Rectal Neuroendocrine Tumor.\",\"authors\":\"Ryosuke Miyamoto, Hitoshi Honma, Yu Masuda, Tomoya Sugiyama, Satoshi Ono, Akihisa Okumura\",\"doi\":\"10.14309/crj.0000000000001669\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>A 13-year-old boy with a 3-month history of diarrhea was successfully treated for a rectal neuroendocrine tumor (NET) using endoscopic submucosal resection with ligation (ESMR-L). Rectoscopy revealed a submucosal tumor in the lower rectum, diagnosed as a rectal NET upon pathological examination. ESMR-L resulted in complete tumor resection without complications. Pathological examination confirmed a 6-mm low-grade NET with no vascular invasion or positive tumor margins. The patient was discharged without complications. This case study indicates that ESMR-L can be applied to rectal NET in children, necessitating further investigation on its efficacy and safety in more patients.</p>\",\"PeriodicalId\":7394,\"journal\":{\"name\":\"ACG Case Reports Journal\",\"volume\":\"12 4\",\"pages\":\"e01669\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-04-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984764/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ACG Case Reports Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14309/crj.0000000000001669\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001669","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
Endoscopic Submucosal Resection With a Ligation Device for Pediatric Rectal Neuroendocrine Tumor.
A 13-year-old boy with a 3-month history of diarrhea was successfully treated for a rectal neuroendocrine tumor (NET) using endoscopic submucosal resection with ligation (ESMR-L). Rectoscopy revealed a submucosal tumor in the lower rectum, diagnosed as a rectal NET upon pathological examination. ESMR-L resulted in complete tumor resection without complications. Pathological examination confirmed a 6-mm low-grade NET with no vascular invasion or positive tumor margins. The patient was discharged without complications. This case study indicates that ESMR-L can be applied to rectal NET in children, necessitating further investigation on its efficacy and safety in more patients.
期刊介绍:
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.