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CC BY-NC-ND 4.0 · Endosc Int Open 2018; 06(12): E1470-E1476
DOI: 10.1055/a-0658-1350
Original article
Owner and Copyright © Georg Thieme Verlag KG 2018

Impact of a dedicated multidisciplinary meeting on the management of superficial cancers of the digestive tract

Solène Dermine
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
,
Maximilien Barret
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Caroline Prieux
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
,
Sophie Ribière
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Sarah Leblanc
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
,
Marion Dhooge
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
,
Catherine Brezault
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
,
Vered Abitbol
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
,
Benoit Terris
2   Department of Pathology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Frédéric Beuvon
2   Department of Pathology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
,
Alexandre Rouquette
2   Department of Pathology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
,
Bertrand Dousset
3   Department of Digestive Surgery, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Sébastien Gaujoux
3   Department of Digestive Surgery, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Philippe Soyer
4   Department of Radiology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Anthony Dohan
4   Department of Radiology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Jean-Emmanuel Bibault
5   Department of Radiotherapy, Georges Pompidou European Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Romain Coriat
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Frédéric Prat
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
,
Stanislas Chaussade
1   Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique – Hôpitaux de Paris, Paris, France
6   Paris-Descartes University, Paris, France
› Author Affiliations
Further Information

Publication History

submitted 14 March 2018

accepted after revision 11 June 2018

Publication Date:
12 December 2018 (online)

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Abstract

Background The recent development of endoscopic resection for superficial gastrointestinal cancers could justify the need for a dedicated oncological multidisciplinary meeting (MDM). The aim of our study was to evaluate the impact of the dedicated MDM on the management of superficial cancers of the digestive tract.

Methods A dedicated MDM was developed at our tertiary referral center. A retrospective review of the MDM conclusions for all patients referred from March 2015 to March 2017 was performed. Outcomes measurements were the outcomes of endoscopic resection, and the concordance rate between the MDM recommendations, European Society of Gastrointestinal Endoscopy (ESGE) guidelines, and final patient management.

Results In total, 153 patients with a median age of 69 years were included. Half of the patients had major comorbidities. The mean lesion size was 25 mm, and R0 and curative resection rate were 73.9 % and 56.9 %, respectively. Forty-three patients had an indication for surgery after endoscopic resection. The concordance rate between ESGE guidelines and MDM recommendation was 92.2 %, and 12 patients did not receive the treatment recommended due to comorbidities.

Conclusion A MDM dedicated to superficial tumors helped tailor the ESGE guidelines to each patient in order to avoid unnecessary surgery.

 

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