Detection of Asymptomatic Ileal Carcinoid Tumors During Ileal Intubation at Screening Colonoscopy

Yarze, Joseph C.; Herlihy, Kevin J.; Coombes, John M.; Bauer, William M.; Fritz, H; DʼAgostino, Joseph

doi:10.1038/ajg.2009.472

Cited by 14 publications

(7 citation statements)

References 4 publications

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“…However as SBCTs increase in incidence, the diagnostic yield of this procedure will correspondingly rise. Furthermore ileoscopy is successful in most patients (72% to 97%), has minimal complications beyond those of colonoscopy, and takes only a few additional procedural minutes to perform [ 5 ]. Early detection with routine ileoscopy can lead to early diagnosis, prompt surgical resection, and improve long-term patient outcomes without the need for adjunctive therapy.…”

Section: Discussionmentioning

confidence: 99%

“…Recent case series by Yarze et al [ 5 ] and Lee et al [ 6 ] have shown promising results in the use of screening ileoscopy for the diagnosis of asymptomatic SBCTs that suggest a decrease in morbidity and mortality, albeit without post-surgical follow-up. The aim of this report is to show that ileoscopy during screening colonoscopy can improve morbidity and mortality associated with SBCTs on a long-term basis, and to argue for the addition of ileoscopy to the practice of screening colonoscopies.…”

Section: Introductionmentioning

confidence: 99%

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Post-surgical surveillance of locally advanced ileal carcinoids found by routine ileal intubation during screening colonoscopy: a case series

et al. 2014

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IntroductionCarcinoid tumors are the most common type of small bowel tumor, and the incidence is rising. The majority of small bowel carcinoid tumors arise within 60cm of the ileocecal valve. The addition of ileoscopy to screening colonoscopy can detect asymptomatic small bowel carcinoid tumors and improve long-term prognosis through early surgical resection. Ileoscopy is a brief procedure with a high success rate and minimal complications beyond those of colonoscopy. The use of ileoscopy during screening colonoscopy has led to an increase in the early-stage detection of locoregional small bowel carcinoid tumors that can be completely treated with surgery alone, and as such has improved long-term prognosis in these patients.Case presentationsFive asymptomatic Caucasian patients, 3 males and 2 females, from 53 to 70 years old (mean age, 60 years old), were diagnosed with locoregional ileal carcinoids during routine colonoscopy with ileoscopy. Since having an ileocolectomy and without adjuvant treatment, no patient has developed tumor recurrence over a follow-up period of one and half to 12 and a half years.ConclusionThe early detection of carcinoid tumors by ileoscopy during screening colonoscopy can lead to increased long-term survival in patients with locally invasive disease. The high success rate and brief duration of the procedure, in addition to the lack of associated morbidity and mortality suggest that with further studies, routine ileoscopy during colonoscopy may be promising in the diagnosis of small bowel carcinoid tumors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Post-surgical surveillance of locally advanced ileal carcinoids found by routine ileal intubation during screening colonoscopy: a case series

et al. 2014

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“…Four out of 5 patients underwent ileocecal resection and adjacent lymph node resection and all of them had metastases or a second carcinoid lesion, and these abnormalities were not detected on extensive preoperative workup [5]. A case series of 6 cases of ileal carcinoid were detected through the routine use of ileoscopy during screening colonoscopy over the past 5 years and metastatic disease to the regional lymph nodes was observed if the lesion size was ≥1 cm in size [6]. …”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Rectal and Ileal Carcinoid Tumors

Abdulsamad

Abbas

Balar

2017

Case Rep Gastroenterol

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Carcinoid tumor is the most common neuroendocrine tumor affecting the gastrointestinal tract. The coexistence of multifocal carcinoid lesions is a well-established phenomenon. Although intubation of the terminal ileum is not routinely attempted during colonoscopy, it can occasionally reveal the presence of some incidental findings. We present a patient with known rectal carcinoid, who was found to have another carcinoid lesion in the terminal ileum during surveillance colonoscopy. The patient underwent right hemicolectomy, and no chemotherapy was required as the patient was found to have stage 1 carcinoid tumor.

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“…The use of endoscopy is less clear in the pre‐operative setting. Lesions in the terminal ileum can be visualized during colonoscopy or ileoscopy; however, neither modality is capable of evaluating the entire small bowel . Use of double balloon enteroscopy (DBE) allows for both localization of the tumor, as well as the ability to biopsy the lesion.…”

Section: Introductionmentioning

confidence: 99%

The role of pre‐operative imaging and double balloon enteroscopy in the surgical management of small bowel neuroendocrine tumors: Is it necessary?

Manguso

Gangi

Johnson

et al. 2017

Journal of Surgical Oncology

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Detection of Asymptomatic Ileal Carcinoid Tumors During Ileal Intubation at Screening Colonoscopy

Cited by 14 publications

References 4 publications

Post-surgical surveillance of locally advanced ileal carcinoids found by routine ileal intubation during screening colonoscopy: a case series

Post-surgical surveillance of locally advanced ileal carcinoids found by routine ileal intubation during screening colonoscopy: a case series

An Unusual Case of Rectal and Ileal Carcinoid Tumors

The role of pre‐operative imaging and double balloon enteroscopy in the surgical management of small bowel neuroendocrine tumors: Is it necessary?

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