SAVED
File name .JPG
File alt. text
Image should be px wide x px tall.
Select Image
home - Small Bowel - Small Bowel Masses - Small Bowel Carcinoid Written by Dr Sebastian Zeki

Small Bowel Carcinoid

Written by Dr Sebastian Zeki FeaturesCarcinoid lesions infiltrate the bowel wall and constricts mesentery through a desmoplastic reaction.Small bowel carcinoids are most commonly found in the ileum, within 60 cm of the ileocecal valve. 5yr survival in patients with distant metastasis is 36 %. Small Bowel Carcinoid Frequently malignant and diagnosed lateAge: 60s or 70s Derived from intraepithelial endocrine cells Multiple in 30%- Patients are: YoungerMore likely to have the carcinoid syndromeHave a worse prognosis. Treatments:Endoscopic resections for duodenal carcinoid.Resection of the involved segment+mesentery+ LN.Palliative resection. Clinical Features:Vague abdominal pain- this occurs in 40 % and is possibly ischaemic due to seretonin/ mesenteric vascular invasion.Intermittent obstruction occurs in 25 %-due to intraluminal tumour,and mesenteric kinking due to tumour invasion and 2ndary desmoplastic response.Carcinoid syndrome in 10%.

Related Stories

•Cocoa Seeds as a Phytobezoar Causing Intestinal Obstruction in a Ghanaian Child: A Case Report

•Disseminated Leiomyomatosis Following a Robotic-Assisted Myomectomy With Power Morcellation: A Case Report

•Multiple small bowel GIST as GI manifestation of neurofibromatosis type I: A case report

•An autopsy case of TFE3-rearranged PEComa-like neoplasm with systematic embolization involving the heart

•Abdominal lymphangioleiomyomatosis in a man presenting with gastrointestinal hemorrhage as the first manifestation: a case report