López ZJ, Jiménez GJA, Ramírez GLR, Leonher RKL, Fuentes C, Schadegg PD

Language: Spanish
References: 18
Page: 32-37
PDF size: 309.65 Kb.

ABSTRACT

Introduction: Tumors of the small intestine represent 1 - 2 % of all gastrointestinal neoplasms and 0.3% of all tumors. Most cases are asymptomatic, appear with nonspecific symptoms and are found in advanced stages.
Material and methods: we performed a retrospective, descriptive, observational study. We searched in the clinical archive of the National Western Medical Center, tumors of the small intestine in patients operated in the period 2000-2013 who had histopathological report, regardless of age, gender or comorbid.
Results: 46 patients, 25 women (54.34%) and 21 men (45.45%) with a mean age of 56.43 years were found. The most common histologic type was adenocarcinoma in 19 patients (41.3%). The most common site was ileum in 19 cases (41.3%). The most common presenting symptom was abdominal pain in 42 cases (91.3%). The surgical management, stoma and resection was performed in 19 cases (41.3%). In 15 cases resection and anastomosis (32.6%) was chosen, in 9 patients pancreaticoduodenectomy was performed. The most common complication was bleeding, with a mortality rate of 17.4%.
Conclusion: Adenocarcinoma was the mos frequent hystologic type and abdominal pain was the most common symptom.

REFERENCES

1. Aiello CV, Flores FG, Oñate LO, Mondragón SR. Tumores de intestino delgado. Rev Gastr Mex. 2010;62:167-174.

2. Wattenberg LW. Carcinogen-detoxifying mechanisms in the gastrointestinal tract. J Gastroint Surg. 2008;51:932-935.

3. Hamilton SR, Aaltonen LA. Classification of tumors pathology and genetics of tumours of the digestive system. Ann Surg. 2004;56:69-92.

4. Ming SC. Small bowel tumors. In: Partain CL, Price RR, Patton JA. Pathology of the gastrointestinal tract. 2nd ed. New York: Williams & Wilkins; 2003. pp. 2176-2178.

5. Maglinte DT, Reyes BL. Small bowel cancer. Radiologic diagnosis. Radiol J Clin North Am. 2005;35:361-380.

6. Pennazio M, Arrigoni A, Risio M, Spandre M. Clinical evaluation of push-type enteroscopy. Gastrointest Endosc Clin North Am. 2010;27:164-170.

7. Halfdanarson TR, McWilliams RR. A single- institution experience with 491 cases of small bowel adenocarcinoma. Am J Surg. 2010;199:797-803.

8. Valera JM, Maiza RE, Contreras ML, Smok G. Small bowel tumors: 11 years of experience in a reference center. Gastr Latinoam. 2010;15:180-185.

9. Rosini FP, Risio M, Pennazio M. Small bowel tumors and poliposis syndromes. Gastrointest Endosc Clin North Am. 2005;9:93-114.

10. Morgan BK, Compton C, Talbert M, Gallagher WJ. Benign smooth muscle tumors of the gastrointestinal tract. Ann Surg. 2010;211:63-66.

11. Laurent F, Raynaud M, Bissette JM. Diagnosis and categorization of small-bowel neoplasms: role of computed tomography. Gastr Radiol. 2009;16:115-120.

12. Buckley JA, Fishman EK. CT evaluation of small bowel neoplasms: spectrum of disease. Gastr Radiol. 2011;35:379-392.

13. Ito H, Perez A, Brooks DC, Osteen RT. Surgical treatment of small bowel cancer: a 20 years single institute experience. J Gastroint Surg. 2008;7:925-930.

14. Pastore C, D’Annibale A, Fregonese D, Conte C. Malignant tumors of the small intestine. Min Chir. 2008;48:471-475.

15. Aghazarian SG, Birely BC. Adenocarcinoma of the small intestine. South Med J. 2010;86:1067-1069.

16. Dawson IMP, Cornes JS, Morson BC. Primary malignant lymphoid tumors of the intestinal tract. Br J Surg. 2007;49:80-89.

17. Bilimoria K, Bentrem D, Wayne J. Small bowel cancer in the United States: changes in epidemiology, treatment, and survival over the last 20 years. Ann Surg. 2009;249:63-71.

18. North J, Pack M. Malignant tumors of the small intestine: a review of 144 cases. Am Surg. 2000;66:46-51.