Emergent approach to small bowel tumors: diagnosis and treatment.

Enes Sahin, Kazım Şahin, Haşim Köken, Sertaç Ata Güler, Turgay Şimşek, Nihat Zafer Utkan, Mustafa Şahin
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Abstract

Background: This study presents the diagnosis and treatment of rare small bowel tumors through clinical cases.

Methods: Patients treated between 2000 and 2023 were included in the study. The clinical records of the patients were analyzed retrospectively.

Results: A total of 34 patients were included in the study. Of these patients, 26 (75.5%) were male and eight (23.5%) were female. The mean age of the patients was 62.1 years. The most common symptoms and signs were abdominal pain (76.4%), bloating (38.2%), and nausea and vomiting (17.6%). Diagnostic methods included computed tomography (CT) (82.3%), upper gastrointestinal double balloon enteroscopy (35.2%), and capsule endoscopy (5.8%). Diagnoses included adenocarcinoma in 13 cases, gastrointestinal stromal tumors (GISTs) in 12 cases, and neuroendocrine tumors (NETs) in two cases.

Conclusion: Small bowel tumors frequently present with abdominal pain, bloating, and nausea and vomiting. CT and endoscopic procedures are the primary diagnostic tools. Small bowel cancers are often diagnosed late due to subtle clinical findings and the limitations of endoscopic imaging. Targeted screening strategies may be beneficial for certain at-risk and symptomatic patient groups. Early surgical intervention offers significant advantages for diagnosed patients.

小肠肿瘤的应急方法:诊断和治疗。
背景:本研究通过临床病例介绍罕见小肠肿瘤的诊断和治疗:本研究通过临床病例介绍罕见小肠肿瘤的诊断和治疗方法:研究纳入了 2000 年至 2023 年期间接受治疗的患者。方法:研究纳入 2000 年至 2023 年期间接受治疗的患者,对患者的临床记录进行回顾性分析:研究共纳入 34 例患者。在这些患者中,26 例(75.5%)为男性,8 例(23.5%)为女性。患者的平均年龄为 62.1 岁。最常见的症状和体征是腹痛(76.4%)、腹胀(38.2%)以及恶心和呕吐(17.6%)。诊断方法包括计算机断层扫描(CT)(82.3%)、上消化道双气囊肠镜(35.2%)和胶囊内镜(5.8%)。诊断结果包括13例腺癌、12例胃肠道间质瘤(GIST)和2例神经内分泌肿瘤(NET):结论:小肠肿瘤常伴有腹痛、腹胀、恶心和呕吐。CT 和内窥镜检查是主要的诊断工具。由于细微的临床表现和内窥镜成像的局限性,小肠癌的诊断往往较晚。有针对性的筛查策略可能对某些高危和有症状的患者群体有益。早期手术干预为确诊患者带来显著优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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