Walter Thomas
Hospices Civils de Lyon, Hôpital Edouard Herriot, Department d'Oncologie Médicale, Lyon, France.
Endosc Int Open. 2019 Feb;7(2):E308-E309. doi: 10.1055/a-0650-4478. Epub 2019 Feb 8.
For the management of diminutive duodenal neuroendocrine tumors (d-NETs), Harshit et al. have proposed - in the work accompanying this editorial - an interesting approach, the endoscopic banding without resection (BWR) technique. Given the risks associated with classic endoscopic resections and surgical procedures, and the likely favorable natural history of diminutive d-NETs, BWR may be an option for these selected patients with a very low risk of LN + and recurrence. However, a close follow-up (endoscopic, EUS and thoraco-abdominal CT scan) is then required to guarantee the safety of this policy.
对于微小十二指肠神经内分泌肿瘤（d-NETs）的管理，Harshit等人在本社论的相关工作中提出了一种有趣的方法，即内镜下不切除的套扎术（BWR）技术。鉴于经典内镜切除术和外科手术相关的风险，以及微小d-NETs可能良好的自然病程，BWR对于这些淋巴结转移（LN+）和复发风险极低的特定患者可能是一种选择。然而，随后需要密切随访（内镜检查、超声内镜和胸腹CT扫描）以确保该策略的安全性。
