Surgical Management for Carcinoid Tumors of Small Bowel, Appendix, Colon, and Rectum

1996 ◽  
Vol 20 (2) ◽  
pp. 183-188 ◽  
Author(s):  
B. Stinner ◽  
O. Kisker ◽  
A. Zielke ◽  
M. Rothmund
2018 ◽  
Vol 226 (6) ◽  
pp. 968-976.e1 ◽  
Author(s):  
Alexander S. Chiu ◽  
Raymond A. Jean ◽  
Kimberly A. Davis ◽  
Kevin Y. Pei

2018 ◽  
Author(s):  
Emily R Newton ◽  
Benjamin H Schmidt ◽  
Michael O Meyers

Although malignancies involving the small bowel are rare, one-third of these are located in the duodenum. The majority of duodenal tumors are adenocarcinoma but also may include gastrointestinal stromal tumors (GIST), carcinoid or neuroendocrine tumors, sarcomas, and lymphoma. These commonly present with nonspecific symptoms, but obstructive patterns predominate when symptoms are present. Preoperative diagnosis is made via endoscopy and/or cross-sectional imaging. This section focuses on treatment and surgical management for adenocarcinoma, carcinoid tumors, and GISTs of the duodenum. Surgical resection is the primary treatment of for all three of these, but all have significant nuances in surgical planning and decision-making as well as variability in the role of adjunctive treatment in their management. Functional carcinoid tumors can have hormone-driven symptoms and are associated with an increase in risk of carcinoid crisis, which may be prophylactically treated with intravenous octreotide. Resection of these tumors relies heavily on tumor relationship to the ampulla. Key anatomic distinctions and clinical tips to identify the ampulla to ensure an appropriate duodenal resection are discussed in this review. This review contains 12 figures, 5 tables, and 54 references. Key Words: carcinoid, duodenal carcinoma, duodenal adenocarcinoma, duodenal resection, duodenal tumors, neuroendocrine tumor, gastrointestinal stromal tumor, small bowel tumors


2021 ◽  
Vol 14 (4) ◽  
pp. e239110
Author(s):  
Muhammad Salah Muhammad Ahmad ◽  
Muhammad Rafaih Iqbal ◽  
Jonathan Simon Refson

A 77-year-old male patient presented with a 5-day history of abdominal pain, coffee ground vomiting and blood-stained diarrhoea. CT scan of the abdomen and pelvis demonstrated a long segment thrombotic occlusion of the superior mesenteric vein (SMV) extending up to the proximal portion of the portal vein causing significant acute small bowel ischaemia. Patient’s deteriorating clinical condition warranted surgical management. Successful surgical management required multidisciplinary teamwork between emergency, vascular surgeons, anaesthetists and intensivists. Emergency laparotomy revealed gangrene of an estimated 120 cm of small bowel segment starting from duodenojejunal junction and a long segment thrombotic occlusion of the SMV extending up to the portal confluence. Resection of gangrenous small bowel without anastomosis and thrombo-embolectomy of SMV along with laparostomy was done at the initial operation. Patient was admitted in the intensive care unit on systemic heparinisation through intravenous administration of unfractionated heparin. Second relook exploration was done after 48 hours followed by anastomosis of the small bowel and closure of the abdomen. Patient made a good recovery following anticoagulation therapy and was discharged on postoperative day 10.


2018 ◽  
Vol 227 (4) ◽  
pp. e218
Author(s):  
Danielle R. Heller ◽  
Raymond A. Jean ◽  
Vadim Kurbatov ◽  
Alexander S. Chiu ◽  
Sajid A. Khan

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Enric Sebastian-Valverde ◽  
Ignasi Poves ◽  
Estela Membrilla-Fernández ◽  
María José Pons-Fragero ◽  
Luís Grande

Surgery Today ◽  
2011 ◽  
Vol 42 (3) ◽  
pp. 233-237 ◽  
Author(s):  
Yuji Nishizawa ◽  
Akihiro Kobayashi ◽  
Norio Saito ◽  
Kanji Nagai ◽  
Masanori Sugito ◽  
...  

1984 ◽  
Vol 1 (4) ◽  
pp. 168-171 ◽  
Author(s):  
M. Malafosse ◽  
P. Roge

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