Paski Shirley C, Semrad Carol E
Section of Gastroenterology, Department of Internal Medicine, University of Chicago Medical Center, Chicago, IL 60637, USA.
Gastrointest Endosc Clin N Am. 2009 Jul;19(3):461-79. doi: 10.1016/j.giec.2009.04.012.
Although rare, small bowel tumors may cause significant morbidity and mortality if left undetected. New endoscopic modalities allow full examination of the small bowel with improved diagnosis. However, isolated mass lesions may be missed by capsule endoscopy or incomplete balloon-assisted enteroscopy. Therefore the use of radiologic imaging and intraoperative enteroscopy for diagnosis should not be forgotten. Endoscopic resection of small bowel polyps and certain vascular tumors is possible but requires proper training. Advances in endoscopic tools are likely to broaden the endoscopic management of small bowel tumors. This article describes the general features of small bowel tumors, clinical presentation, and diagnostic tests followed by a description of the more common tumor types and their management.
尽管小肠肿瘤较为罕见，但如果未被发现，可能会导致严重的发病率和死亡率。新的内镜检查方法能够对小肠进行全面检查，提高诊断水平。然而，胶囊内镜或不完全的气囊辅助小肠镜检查可能会遗漏孤立的肿块病变。因此，不应忽视使用放射影像学和术中小肠镜进行诊断。小肠息肉和某些血管性肿瘤可以通过内镜切除，但需要适当的培训。内镜工具的进步可能会扩大小肠肿瘤的内镜治疗范围。本文描述了小肠肿瘤的一般特征、临床表现和诊断检查，随后介绍了更常见的肿瘤类型及其治疗方法。
