Neoplastic Diseases of the Small Bowel - 14/12/17

Doi : 10.1016/j.giec.2016.08.005

Emanuele Rondonotti, MD, PhD ^a,^⁎ , Anastasios Koulaouzidis, MD, FRCPE ^b, Diana E. Yung, MBChB ^b, Surekha N. Reddy, MBChB, MRCS, MD, FRCR ^c, Julius Georgiou, DIC, MEng, ACGI, SMIEEE ^d, Marco Pennazio, MD ^e
^a Gastroenterology Unit, Valduce Hospital, Via Dante 11, Como 22100, Italy
^b Centre for Liver & Digestive Disorders, The Royal Infirmary of Edinburgh, Edinburgh EH16 4SA, UK
^c Department of Radiology, Western General Hospital, Crewe Road South, 51 Little France Crescent, Edinburgh EH3 9JD, UK
^d Department of Electrical and Computer Engineering, University of Cyprus, Cyprus 1 University Avenue, Aglantzia 2109, Cyprus
^e Division of Gastroenterology U, San Giovanni AS University-Teaching Hospital, Via Cavour 31, Torino 10123, Italy

^∗Corresponding author. Gastroenterology Unit, Valduce Hospital, Via Dante 10, Como 22100, Italy.Gastroenterology UnitValduce HospitalVia Dante 10Como22100Italy

Résumé

The incidence of small bowel tumors is increasing over time. Until recently, their diagnosis was delayed and it was often reached only at the time of surgery. New diagnostic tools, such as capsule endoscopy, device-assisted enteroscopy, and dedicated small bowel cross-sectional imaging techniques, have been introduced recently in clinical practice. The combination of these tools allows medical practitioners to detect small bowel tumors at an early stage and to reach a definite diagnosis before surgery, thus enabling minimally invasive treatments.

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Keywords : Small bowel tumors, Capsule endoscopy, Device-assisted enteroscopy, CT-enteroclysis, MR-enteroclysis, CT enterography, MR enterography

Plan

Key points

Introduction

Small bowel capsule endoscopy

Dedicated small bowel cross-sectional radiologic imaging

Device-assisted enteroscopy

Small bowel tumors diagnostic work-up: from evidence to clinical practice

	Disclosure Statements: All the authors do not declare any commercial or financial conflict of interest and any funding sources related to this work.
	Author Contribution: E. Rondonotti, D.E. Yung, S.N. Reddy, J. Georgoiu, and A. Koulaouzids substantially contributed to the article conception and drafted the article; M. Pennazio supervised the work and revised it critically for important intellectual content. All the authors approved the final version to be published.