Abstract BACKGROUND: Endoscopic mucosal resection (EMR) of early superficial colorectal carcinomas is nowadays accepted as the gold standard treatment for this type of neoplasia. AIM: This study aims to evaluate the efficacy and safety of mucosectomy in elderly patients considering the predictive value of submucosal infiltration. METHODS: A retrospective study of all patients referred for EMR of sessile colorectal polyps classified IIa by the Paris classification between April 2013 and April 2015. A total of 50 patients (30 males (60 %); age range = 44-86; mean age = 67.7) were enrolled. Patients were divided in two groups considering 65 years as cutoff to individuate the elderly patients. RESULTS: EMR was performed in 53 lesions: 39 were performed en bloc and 14 by piecemeal technique. 30 % of lesions were in the rectum; 11 % in the sigmoid colon; 15 % in the descending colon; 6 % in the transverse colon; 24 % in the ascendant colon; and 14 % in the cecum. The mean size of the resected specimens was 20 mm (range 8-80 mm). The rate of complete resection was 79.2 %, incomplete 13.2 %, not estimable 7 %. Ten patients underwent surgery because of an incomplete resection and/or histological evaluation. CONCLUSIONS: Colon EMR is safe and effective in elderly patients. Endoscopy is still helped in the correct indication for surgery in high-risk surgical patients.

Endoscopic mucosal resection in elderly patients / Pontone, Stefano; Palma, Rossella; Panetta, Cristina; Pironi, Daniele; Eberspacher, Chiara; Angelini, Rita; Pontone, Paolo; Catania, Antonio; Filippini, Angelo; Sorrenti, Salvatore. - In: AGING CLINICAL AND EXPERIMENTAL RESEARCH. - ISSN 1594-0667. - ELETTRONICO. - 29:suppl 1(2017), pp. 109-113. [10.1007/s40520-016-0661-z]

Endoscopic mucosal resection in elderly patients

PONTONE, Stefano
;
PALMA, ROSSELLA;PANETTA, CRISTINA;PIRONI, Daniele;EBERSPACHER, CHIARA;ANGELINI, Rita;PONTONE, Paolo;CATANIA, Antonio;FILIPPINI, Angelo;SORRENTI, Salvatore
2017

Abstract

Abstract BACKGROUND: Endoscopic mucosal resection (EMR) of early superficial colorectal carcinomas is nowadays accepted as the gold standard treatment for this type of neoplasia. AIM: This study aims to evaluate the efficacy and safety of mucosectomy in elderly patients considering the predictive value of submucosal infiltration. METHODS: A retrospective study of all patients referred for EMR of sessile colorectal polyps classified IIa by the Paris classification between April 2013 and April 2015. A total of 50 patients (30 males (60 %); age range = 44-86; mean age = 67.7) were enrolled. Patients were divided in two groups considering 65 years as cutoff to individuate the elderly patients. RESULTS: EMR was performed in 53 lesions: 39 were performed en bloc and 14 by piecemeal technique. 30 % of lesions were in the rectum; 11 % in the sigmoid colon; 15 % in the descending colon; 6 % in the transverse colon; 24 % in the ascendant colon; and 14 % in the cecum. The mean size of the resected specimens was 20 mm (range 8-80 mm). The rate of complete resection was 79.2 %, incomplete 13.2 %, not estimable 7 %. Ten patients underwent surgery because of an incomplete resection and/or histological evaluation. CONCLUSIONS: Colon EMR is safe and effective in elderly patients. Endoscopy is still helped in the correct indication for surgery in high-risk surgical patients.
2017
Colonoscopy; Colorectal cancer; Elderly patients; Endoscopic resection; Lifting sign; Polyp; Submucosal invasion; Aging; Geriatrics and Gerontology
01 Pubblicazione su rivista::01a Articolo in rivista
Endoscopic mucosal resection in elderly patients / Pontone, Stefano; Palma, Rossella; Panetta, Cristina; Pironi, Daniele; Eberspacher, Chiara; Angelini, Rita; Pontone, Paolo; Catania, Antonio; Filippini, Angelo; Sorrenti, Salvatore. - In: AGING CLINICAL AND EXPERIMENTAL RESEARCH. - ISSN 1594-0667. - ELETTRONICO. - 29:suppl 1(2017), pp. 109-113. [10.1007/s40520-016-0661-z]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/908436
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