Ulus Travma Acil Cerrahi Derg. 2024; 30(3): 155-159 | DOI: 10.14744/tjtes.2024.33680

Emergent approach to small bowel tumors: diagnosis and treatment

Enes Sahin¹, Kazým Þahin³, Haþim Köken¹, Sertaç Ata Güler¹, Turgay Þimþek¹, Nihat Zafer Utkan¹, Mustafa Þahin^2
1Department of General Surgery, Kocaeli University Faculty of Medicine, Kocaeli-Türkiye
²Department of General Surgery, Selçuk University Faculty of Medicine, Konya-Türkiye
³Department of General Surgery, Kandýra State Hospital, Kocaeli-Türkiye

BACKGROUND: This study presents the diagnosis and treatment of rare small bowel tumors through clinical cases.
METHODS: Patients treated between 2000 and 2023 were included in the study. The clinical records of the patients were analyzed retrospectively.
RESULTS: A total of 34 patients were included in the study. Of these patients, 26 (75.5%) were male and eight (23.5%) were female. The mean age of the patients was 62.1 years. The most common symptoms and signs were abdominal pain (76.4%), bloating (38.2%), and nausea and vomiting (17.6%). Diagnostic methods included computed tomography (CT) (82.3%), upper gastrointestinal double balloon enteroscopy (35.2%), and capsule endoscopy (5.8%). Diagnoses included adenocarcinoma in 13 cases, gastrointestinal stromal tumors (GISTs) in 12 cases, and neuroendocrine tumors (NETs) in two cases.
CONCLUSION: Small bowel tumors frequently present with abdominal pain, bloating, and nausea and vomiting. CT and endoscopic procedures are the primary diagnostic tools. Small bowel cancers are often diagnosed late due to subtle clinical findings and the limitations of endoscopic imaging. Targeted screening strategies may be beneficial for certain at-risk and symptomatic patient groups. Early surgical intervention offers significant advantages for diagnosed patients.

Keywords: Abdominal pain, bloating, capsule endoscopy, double balloon enteroscopy, small bowel tumor.

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Ýnce baðýrsak tümörlerine acil yaklaþým: Teþhis ve tedavi

Enes Sahin¹, Kazým Þahin³, Haþim Köken¹, Sertaç Ata Güler¹, Turgay Þimþek¹, Nihat Zafer Utkan¹, Mustafa Þahin^2
1Kocaeli Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Kocaeli, Türkiye
²Selçuk Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Kocaeli, Türkiye
³Kandýra Devlet Hastanesi, Genel Cerrahi Kliniði, Kocaeli, Türkiye

AMAÇ: Nadir görülen ince baðýrsak tümörlerinin taný ve tedavisini klinik olgularla sunmak.
GEREÇ VE YÖNTEM: 2000-2023 yýllarý arasýnda tedavi edilen hastalar çalýþmaya dahil edildi. Hastalarýn klinik kayýtlarý retrospektif olarak analiz edildi.
BULGULAR: Çalýþmaya 34 hasta dahil edildi: Çalýþmaya 34 hasta dahil edildi. Bu hastalarýn 26'sý (%75.5) erkek ve 8'i (%23.5) kadýndý. Hastalarýn ortalama yaþý 62.1 idi. En sýk görülen semptom ve bulgular karýn aðrýsý (%76.4), þiþkinlik (%38,2), bulantý ve kusma (%17.6) idi. Taný yöntemleri olarak bilgisayarlý tomografi (BT) (%82.3), üst gastrointestinal çift balon enteroskopi (%35.2), kapsül endoskopi (%5.8) kullanýldý. Olgularýn 13'ünde adenokarsinom, 12'sinde GÝST ve 2'sinde NET saptandý.
SONUÇ: Ýnce baðýrsak tümörleri sýklýkla karýn aðrýsý, þiþkinlik ve bulantý-kusma ile baþvurur. BT ve endoskopik iþlemler taný için ilk tercihtir. Ýnce baðýrsak kanserleri klinik olarak silik bulgular ve yetersiz endoskopik görüntüleme nedeniyle geç teþhis edilmektedir. Belirli risk altýndaki ve semptomatik hasta gruplarýnda hedefe yönelik tarama stratejileri uygulanabilir. Taný konulan hastalarda erken cerrahi müdahale önemli avantajlar saðlamaktadýr.

Anahtar Kelimeler: Çift balon enteroskopi, ince baðýrsak tümörü, kapsül endoskopi, karýn aðrýsý, þiþkinlik.

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