Current advance in small bowel tumors

Abstract

Small intestinal tumors are difficult challenge to gastroenterologists. The difficulty in making a diagnosis of small intestinal tumor lies in the relative inaccessibility and absence of typical presentation. New endoscopic and radiologic technologies provide clear and fine anatomical visualization of the small bowel and are approved to improve the diagnostic sensitivity and accuracy. Patients at risk of small intestinal tumors might gain a benefit from proper surveillance with this new technology. Minimally invasive therapy is now available with advance of balloon assisted enteroscopy. This review describes the general aspect of the small intestinal tumors, focusing on the new modalities for diagnosis.

Keywords: Small bowel; Tumor.

Fig. 1

Small intestinal tumors on wireless capsule endoscopy. (A) Epithelial mass with ulceration, suggestive of adenocarcinoma. (B) Subepithelial mass with top ulceration, proved as gastrointestinal stromal tumor on surgical pathology. (C) Multiple epithelial mass with fungoid growth, diagnosed histologically as lymphoma.