eMedicine Specialties > General Surgery > Abdomen

Benign Neoplasm of the Small Intestine: Follow-up

Author: Shawn M Terry, MD, FACS, Clinical Assistant Professor of Surgery, Penn State University College of Medicine; Consulting Staff, Department of Trauma and Surgical Critical Care, York Hospital
Coauthor(s): Thomas Santora, MD, Associate Professor, Director of Regional Resource Trauma Center, Department of Surgery, Temple University Medical Center
Contributor Information and Disclosures

Updated: Jul 11, 2008

Follow-up

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.

Miscellaneous

Medicolegal Pitfalls

  • Diagnosis and management of suspected benign neoplasms of the small bowel should be approached with great care. As symptoms may be intermittent, minimal, or absent and any associated bleeding may be sporadic, a thorough diagnostic and management plan should be in place to avoid missing the diagnosis. Whether with contrast radiography, push enteroscopy, or capsule endoscopy evaluation, no diagnostic method is 100% sensitive for these often missed lesions, so a high clinical index of suspicion should be maintained when other diagnoses have been excluded from the differential. The clinician should use clear communication strategies with the patient, the family, and other members of the health care team to promote effective patient management.
 


More on Benign Neoplasm of the Small Intestine

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Follow-up: Benign Neoplasm of the Small Intestine
Multimedia: Benign Neoplasm of the Small Intestine
References
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References

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

  2. 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].

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

  4. 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].

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

  6. 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].

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

  8. 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].

  9. 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].

  10. 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].

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

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

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

  14. 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].

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

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

  17. 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].

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

  19. 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].

  20. 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].

  21. 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].

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

  23. 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].

  24. 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].

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

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Further Reading

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Keywords

small bowel polyps, small bowel hemangioma, small bowel lipoma, small bowel, leiomyoma, hyperplastic polyps, adenomas, gut stromal tumors, GI stromal tumors, gastrointestinal tumor, Peutz-Jeghers syndrome, duodenal tumor, jejunal tumor, ileal tumor, polyposis syndrome, intraluminal lesions, serosal lesions, bowel obstruction, bowel volvulus, small bowel lesions, GI lesions, gastrointestinal lesions, GI hamartomas, gastrointestinal hamartomas, polyps

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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 Surgical Critical Care, York Hospital
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, Associate Professor, Director of Regional Resource Trauma Center, Department of Surgery, Temple University Medical Center
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 Society for Surgery of the Alimentary Tract
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

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.

CME Editor

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 Chairman, Professor, Department of Surgery, Section of Gastrointestinal Medicine and Department of Cellular and Molecular Physiology, Yale University School of Medicine; Director of 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 Other; AstraZeneca Grant/research funds Other

 
 
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