Predictors and Outcomes of Minimally Invasive Surgery for Small Bowel Neuroendocrine Tumors

Wong, William G.; Holguin, Rolfy A. Perez; Olecki, Elizabeth J.; Stahl, Kelly A.; Dixon, Matthew; Peng, June S.; Dasari, Arvind; Shen, Chan

doi:10.1007/s11605-022-05264-6

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…The standard surgical practice for small bowel NET is open surgery to allow for tumour removal and lymph node dissection. However, recent studies have emerged on optimal outcomes in patients undergoing minimally invasive surgery with the added advantage of a shorter hospital stay [122]. Experience in advanced minimally invasive surgery is growing, and in well experienced centres, this should be the surgical option of choice [123].…”

Section: Conclusion and Future Directionmentioning

confidence: 99%

Small bowel neuroendocrine tumours – casting the net wide

Zammit

Sidhu

2023

Current Opinion in Gastroenterology

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Purpose of review Our aim is to provide an overview of small bowel neuroendocrine tumours (NETs), clinical presentation, diagnosis algorithm and management options. We also highlight the latest evidence on management and suggest areas for future research. Recent findings Dodecanetetraacetic acid (DOTATATE) scan can detect NETs with an improved sensitivity than when compared with an Octreotide scan. It is complimentary to small bowel endoscopy that provides mucosal views and allows the delineation of small lesions undetectable on imaging. Surgical resection is the best management modality even in metastatic disease. Prognosis can be improved with the administration of somatostatin analogues and Evarolimus as second-line therapies. Summary NETs are heterogenous tumours affecting most commonly the distal small bowel as single or multiple lesions. Their secretary behaviour can lead to symptoms, most commonly diarrhoea and weight loss. Metastases to the liver are associated with carcinoid syndrome.

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Section: Conclusion and Future Directionmentioning

confidence: 99%