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Surgery and Perioperative Management in Small Intestinal Neuroendocrine Tumors.


ABSTRACT: Small-intestinal neuroendocrine tumors (SI-NETs) are the most prevalent small bowel neoplasms with an increasing frequency. In the multimodal management of SI-NETs, surgery plays a key role, either in curative intent, even if R0 resection is feasible in only 20% of patients due to advanced stage at diagnosis, or palliative intent. Surgeons must be informed about the specific surgical management of SI-NETs according to their hormonal secretion, their usual dissemination at the time of diagnosis and the need for bowel-preserving surgery to avoid short bowel syndrome. The aim of this paper is to review the surgical indications and techniques, and perioperative and postoperative management of SI-NETs.

SUBMITTER: Deguelte S 

PROVIDER: S-EPMC7408509 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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Surgery and Perioperative Management in Small Intestinal Neuroendocrine Tumors.

Deguelte Sophie S   Perrier Marine M   Hammoutene Cheryne C   Cadiot Guillaume G   Kianmanesh Reza R  

Journal of clinical medicine 20200721 7


Small-intestinal neuroendocrine tumors (SI-NETs) are the most prevalent small bowel neoplasms with an increasing frequency. In the multimodal management of SI-NETs, surgery plays a key role, either in curative intent, even if R0 resection is feasible in only 20% of patients due to advanced stage at diagnosis, or palliative intent. Surgeons must be informed about the specific surgical management of SI-NETs according to their hormonal secretion, their usual dissemination at the time of diagnosis a  ...[more]

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