Small Bowel Resection in Malignancy
Öz
Aim: The diagnosis of small bowel (SB) tumors is often delayed due to the lack of specific symptoms and inadequacy of conventional endoscopic and imaging methods. In this study, we aimed to evaluate the clinical and pathological features of SB resections in patients with malignancy and determine the necessary approaches for early diagnosis.
Methods: Patients who underwent SB resections for primary or metastatic tumors between 2012 and 2019 were evaluated retrospectively. Demographic data, diagnostic workup, surgical treatment patterns, histopathological features, and outcome parameters were documented.
Results: The study included 61 patients (38 males, 23 females), with a mean age of 59 years. Twenty-four patients had primary SB tumors and 37 had metastatic tumors. Adenocarcinoma was the most common type of primary tumor while the colon was the most common origin for metastatic involvement. Twenty (32%) patients underwent emergency operations. Acute mechanical intestinal obstruction was the most common indication for emergency surgery. Forty-one (68%) patients underwent elective operations. The most common symptom was abdominal pain, followed by weight loss, loss of appetite, nausea and vomiting, and constipation and diarrhea.
Conclusion: The most important parameters that determine the prognosis are histological type and tumor stage. Considering SB tumors during the differential diagnosis of non-specific abdominal complaints is critically important for the early diagnosis of the disease
Anahtar Kelimeler
Kaynakça
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