ArticleEinstein (Sao Paulo, Brazil)
Most small bowel cancers are revealed by a complication.
Article in Einstein (Sao Paulo, Brazil). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 39 citations in OpenAlex.
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- [63/m-Very strong diffuse abdominal pain after ongoing hematochezia : Preparation for the medical specialist examination: part 43].Chirurgie (Heidelberg, Germany) · 2023Article
- Characteristics and outcome of patients with small bowel adenocarcinoma (SBA).Journal of cancer research and clinical oncology · 2023Article
- Characteristics and outcomes of small bowel adenocarcinoma: 14 years of experience at a single tertiary hospital in Saudi Arabia.Molecular and clinical oncology · 2023Article
- Case Report: Primary small bowel adenocarcinoma with peritoneal metastasis responded well to a CapeOX + bevacizumab regimen.Frontiers in gastroenterology (Lausanne, Switzerland) · 2023Article
- Novel Multicentric Hepatic Lymphoma with Extrahepatic Biliary Obstruction Associated with Duodenal Perforation in a Cat.Case reports in veterinary medicine · 2021Article
- Personalized four-category staging for predicting prognosis in patients with small bowel Adenocarcinoma: an international development and validation study.EBioMedicine · 2020Article
- Surgical Management of Jejunal Tumors: Experience from Tertiary Care Centre.Journal of gastrointestinal cancer · 2020Article
- An Examination of Lymph Node Sampling as a Predictor of Survival in Resected Node-Negative Small Bowel Adenocarcinoma: a SEER Database Analysis.Journal of gastrointestinal cancer · 2020Article
- Carcinoid Tumor: Advances in Treatment Options.Cureus · 2020Article
- Small Bowel Adenocarcinoma, Version 1.2020, NCCN Clinical Practice Guidelines in Oncology.Journal of the National Comprehensive Cancer Network : JNCCN · 2019Article
- Article
- A 17-year-old male with a Small Bowel Neuroendocrine Tumor: flushing differential diagnosis.The World Allergy Organization journal · 2017Article
- Facing Terminal Ileitis: Going Beyond Crohn's Disease.Gastroenterology research · 2016Review
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo characterize the pattern of primary small bowel cancers in a tertiary East-European hospital.
methodsA retrospective study of patients with small bowel cancers admitted to a tertiary emergency center, over the past 15 years.
resultsThere were 57 patients with small bowel cancer, representing 0.039% of admissions and 0.059% of laparotomies. There were 37 (64.9%) men, mean age of 58 years; and 72 years for females. Out of 57 patients, 48 (84.2%) were admitted due to an emergency situation: obstruction in 21 (38.9%), perforation in 17 (31.5%), upper gastrointestinal bleeding in 8 (14.8%), and lower gastrointestinal bleeding in 2 (3.7%). There were 10 (17.5%) duodenal tumors, 21 (36.8%) jejunal tumors and 26 (45.6%) ileal tumors. The most frequent neoplasms were gastrointestinal stromal tumor in 24 patients (42.1%), adenocarcinoma in 19 (33.3%), lymphoma in 8 (14%), and carcinoids in 2 (3.5%). The prevalence of duodenal adenocarcinoma was 14.55 times greater than that of the small bowel, and the prevalence of duodenal stromal tumors was 1.818 time greater than that of the small bowel. Obstruction was the complication in adenocarcinoma in 57.9% of cases, and perforation was the major local complication (47.8%) in stromal tumors.
conclusionPrimary small bowel cancers are usually diagnosed at advanced stages, and revealed by a local complication of the tumor. Their surgical management in emergency setting is associated to significant morbidity and mortality rates.
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