Benign Neoplasm of the Small Intestine Follow-up

  • Author: Shawn M Terry, MD, FACS; Chief Editor: John Geibel, MD, DSc, MA   more...
 
Updated: Nov 28, 2011
 

Complications

Surgical complications for small bowel tumor resection should be minimal and limited to the technical aspects of the operation. Intraoperative bleeding, wound infections, anastomotic leak, and failure to localize the tumor at the time of operation have all been reported.

Postoperative complications include ileus, incisional hernia, and delayed small bowel obstruction from adhesions. Given the limited amount of bowel commonly resected for these rare tumors, short-bowel syndrome is not typically a concern.

 
Contributor Information and Disclosures
Author

Shawn M Terry, MD, FACS  Clinical Assistant Professor of Surgery, Penn State University College of Medicine; Consulting Staff, Department of Trauma and Emergency General Surgery, Community Medical Center

Shawn M Terry, MD, FACS is a member of the following medical societies: American College of Surgeons, American Medical Association, Eastern Association for the Surgery of Trauma, Pennsylvania Medical Society, and Society of Critical Care Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Thomas Santora, MD  Professor and Vice-Chair for Clinical Affairs, Department of Surgery, Temple University Hospital, Temple University School of Medicine

Thomas Santora, MD is a member of the following medical societies: American Association for the Surgery of Trauma, American College of Surgeons, American Trauma Society, Association for Academic Surgery, and Eastern Association for the Surgery of Trauma

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Amy L Friedman, MD  Professor of Surgery, Director of Transplantation, State University of New York Upstate Medical University College of Medicine, Syracuse

Amy L Friedman, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Medical Women's Association, American Society for Artificial Internal Organs, American Society of Transplant Surgeons, American Society of Transplantation, Association for Academic Surgery, Association of Women Surgeons, International College of Surgeons, International Liver Transplantation Society, New York Academy of Sciences, Pennsylvania Medical Society, Philadelphia County Medical Society, Society of Critical Care Medicine, and Transplantation Society

Disclosure: Nothing to disclose.

Paolo Zamboni, MD  Professor of Surgery, Chief of Day Surgery Unit, Chair of Vascular Diseases Center, University of Ferrara, Italy

Paolo Zamboni, MD is a member of the following medical societies: American Venous Forum and New York Academy of Sciences

Disclosure: Nothing to disclose.

Chief Editor

John Geibel, MD, DSc, MA  Vice Chair and Professor, Department of Surgery, Section of Gastrointestinal Medicine, and Department of Cellular and Molecular Physiology, Yale University School of Medicine; Director, Surgical Research, Department of Surgery, Yale-New Haven Hospital

John Geibel, MD, DSc, MA is a member of the following medical societies: American Gastroenterological Association, American Physiological Society, American Society of Nephrology, Association for Academic Surgery, International Society of Nephrology, New York Academy of Sciences, and Society for Surgery of the Alimentary Tract

Disclosure: AMGEN Royalty Consulting; ARdelyx Ownership interest Board membership

References

  1. Ashley SW, Wells SA Jr. Tumors of the small intestine. Semin Oncol. Apr 1988;15(2):116-28. [Medline].

  2. Blanchard DK, Budde JM, Hatch GF 3rd, et al. Tumors of the small intestine. World J Surg. Apr 2000;24(4):421-9. [Medline].

  3. Minardi AJ Jr, Zibari GB, Aultman DF, et al. Small-bowel tumors. J Am Coll Surg. Jun 1998;186(6):664-8. [Medline].

  4. Braasch JW, Denbo HE. Tumors of the small intestine. Surg Clin North Am. Jun 1964;44:791-809. [Medline].

  5. Zollinger RM Jr. Primary neoplasms of the small intestine. Am J Surg. Jun 1986;151(6):654-8. [Medline].

  6. McGarrity TJ, Kulin HE, Zaino RJ. Peutz-Jeghers syndrome. Am J Gastroenterol. Mar 2000;95(3):596-604. [Medline].

  7. Merine D, Jones B, Ghahremani GG, et al. Hyperplasia of Brunner glands: the spectrum of its radiographic manifestations. Gastrointest Radiol. Spring 1991;16(2):104-8. [Medline].

  8. Rüfenacht H, Kasper M, Heitz PU, et al. "Brunneroma": hamartoma or tumor?. Pathol Res Pract. Mar 1986;181(1):107-11. [Medline].

  9. Bremer EH, Battaile WG, Bulle PH. Villous tumors of the upper gastrointestinal tract. Clinical review and report of a case. Am J Gastroenterol. Aug 1968;50(2):135-43. [Medline].

  10. Ludwig DJ, Traverso LW. Gut stromal tumors and their clinical behavior. Am J Surg. May 1997;173(5):390-4. [Medline].

  11. He LJ, Wang BS, Chen CC. Smooth muscle tumours of the digestive tract: report of 160 cases. Br J Surg. Feb 1988;75(2):184-6. [Medline].

  12. Morgan BK, Compton C, Talbert M, et al. Benign smooth muscle tumors of the gastrointestinal tract. A 24-year experience. Ann Surg. Jan 1990;211(1):63-6. [Medline].

  13. Amin MB, Ma CK, Linden MD, et al. Prognostic value of proliferating cell nuclear antigen index in gastric stromal tumors. Correlation with mitotic count and clinical outcome. Am J Clin Pathol. Oct 1993;100(4):428-32. [Medline].

  14. Nincheri Kunz M, Evaristi L, Spadoni R, et al. [Lipoma of the small intestine as a rare cause of intestinal occlusion]. Minerva Chir. Sep 1994;49(9):859-65. [Medline].

  15. Kim YS, Chun HJ, Jeen YT, et al. Small bowel capillary hemangioma. Gastrointest Endosc. Oct 2004;60(4):599. [Medline].

  16. Ramanujam PS, Venkatesh KS, Bettinger L, et al. Hemangioma of the small intestine: case report and literature review. Am J Gastroenterol. Nov 1995;90(11):2063-4. [Medline].

  17. Boyle L, Lack EE. Solitary cavernous hemangioma of small intestine. Case report and literature review. Arch Pathol Lab Med. Sep 1993;117(9):939-41. [Medline].

  18. Barkay O, Moshkowitz M, Fireman Z, et al. Initial experience of videocapsule endoscopy for diagnosing small-bowel tumors in patients with GI polyposis syndromes. Gastrointest Endosc. Sep 2005;62(3):448-52. [Medline].

  19. Ziegler KM, Flamm CR, Aronson N. Wireless capsule endoscopy in patients with obscure small-intestinal bleeding. J Am Coll Radiol. Oct 2005;2(10):818-20. [Medline].

  20. Wang H, Luo T, Liu WQ, Huang Y, Wu XT, Wang XJ. Clinical presentations and surgical approach of acute intussusception caused by peutz-jeghers syndrome in adults. J Gastrointest Surg. Dec 2011;15(12):2218-25. [Medline].

  21. Cochet B, Carrel J, Desbaillets L, et al. Peutz-Jeghers syndrome associated with gastrointestinal carcinoma. Report of two cases in a family. Gut. Feb 1979;20(2):169-75. [Medline].

  22. Latchford AR, Neale K, Phillips RK, Clark SK. Peutz-jeghers syndrome: intriguing suggestion of gastrointestinal cancer prevention from surveillance. Dis Colon Rectum. Dec 2011;54(12):1547-51. [Medline].

  23. Metzger PP, Slappy AL, Chua HK. Ileal lipoma. Surg Rounds. 2005;28(2):84-6.

  24. Newlin ME, Ruiz OR, Taxier M. Using intraoperative enteroscopy for SBD. Cont Surg. 2005;61(7):340-5.

  25. Karargyris A, Bourbakis N. Detection of small bowel polyps and ulcers in wireless capsule endoscopy videos. IEEE Trans Biomed Eng. Oct 2011;58(10):2777-86. [Medline].

  26. Rana SS, Bhasin DK, Singh K. Colonic lesions in patients undergoing small bowel capsule endoscopy. Int J Colorectal Dis. Jun 2011;26(6):699-702. [Medline].

  27. Ackerman LV, Rosai J, eds. Ackerman's Surgical Pathology. 8th ed. St Louis, Mo: Mosby-Year Book; 1996:663-4.

  28. Tang SJ, Zanati S, Dubcenco E, et al. Capsule endoscopy regional transit abnormality: a sign of underlying small bowel pathology. Gastrointest Endosc. Oct 2003;58(4):598-602. [Medline].

  29. ReMine WH, Brown PW Jr, Gomes MM, et al. Polypoid hamartomas of Brunner's glands. Report of six surgical cases. Arch Surg. Mar 1970;100(3):313-6. [Medline].

 
Previous
Next
 
Benign neoplasm of the small intestine. Arteriogram demonstrating small bowel gut stromal tumor, indicated by round tumor blush in lower right corner of the image.
Benign neoplasm of the small intestine. Intraoperative view of an ependymal small bowel stromal tumor. Notice the narrow lesion stalk and high degree of vascularity.
Benign neoplasm of the small intestine. Cross section of a gross ependymal small bowel stromal tumor after removal. Mixed stromal elements and a high degree of cellularity are apparent.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.