EP.TU.393Management of Suspicious Neoplastic Rectal Lesions in Octogenarians by a Specialist Early Rectal Cancer MDT

Abstract Aims To assess management of early rectal cancers in octogenarians going through a regional Small and Early Rectal Cancer MDT observing oncological outcomes, morbidity, mortality quality life after treatment Methods Consecutive octogenarian patients treated via the SERC between Dec 2013 2019 were examined retrospectively from prospectively maintained database. Patients underwent transanal endoscopic microsurgery (TEMS), submucosal dissection (ESD), contact radiotherapy or hybrid combinations. Patient demographics recorded outcomes assessed including pre post-operative staging, mortality, length stay FISI scores Results 85 assessed. 38 had TEMS, 40 EMR, ESD procedures 7 radiotherapy. Of who there was minor morbidity 5 patients, one cancer recurrence no related mortality. pre- post-procedure markedly different with deterioration control flatus mucus, but faecal incontinence. procedures, 2 3 adenocarcinomas detected requiring further Conclusions Management specialist provides safe option minimal subgroup would otherwise constitute high risk cohort for surgical intervention. A continence this group highlights need careful counselling to achieve optimal balance