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Emergency Presentation of Small Bowel Tumours

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Oncologic Surgical Emergencies

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

Abstract

Small bowel tumours are rare, consisting of a wide variety of histological subtypes with diverse patterns of emergency presentation. An understanding of the common tumour subsets guides initial management and workup and aids in performing the most appropriate operation when presented with acute emergency cases. When faced with patients requiring urgent or immediate surgical intervention, understanding that disease often presents late with metastases or locoregionally advanced disease can guide preoperative and intraoperative decision-making. Non-operative treatments for small bowel tumours, notably gastrointestinal stromal tumours, neuroendocrine tumours, and lymphoma, are increasing the importance of preoperative tissue diagnosis through advanced endoscopic techniques. However, in the emergency setting, definitive early surgery will reduce the progression of simple to complicated small bowel obstruction, with perforation and ischaemia. Use of wound bundle and optimising laparotomy closure are key to optimal outcomes. Post-operative management of small bowel cancer is a complex and evolving field with multiple promising advancements.

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Acknowledgements

This project was supported by the European Union’s INTERREG VA Programme, managed by the Special EU Programmes Body (SEUPB) and Donegal Clinical Research Academy.

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Authors and Affiliations

  1. Emergency Surgery Outcomes Advancement Project (eSOAP), Donegal Clinical Research Academy, Letterkenny University Hospital, Donegal, Ireland

    Ian Stephens & Michael Sugrue

  2. Department of Surgery, Altnagelvin Hospital, Derry, Northern Ireland, UK

    Brendan Skelly

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  1. Ian Stephens
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  2. Michael Sugrue
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  3. Brendan Skelly
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Correspondence to Ian Stephens .

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Editors and Affiliations

  1. Emergency Surgery Dept., Parma University Hospital, Parma, Italy

    Antonio Tarasconi

  2. Oncology Dept., Parma University Hospital, Parma, Italy

    Simona Bui

  3. Digestive Surgery Dept, Ctr. Hosp. Univ. Grenoble Alpes, La Tronche, France

    Mircea Chirica

  4. Hepato-gastroenterology and Digestive oncology Dept., Grenoble-Alpes University Hospital, Grenoble, France

    Gaël Roth

  5. Department of Surgery, University of California, Irvine, Orange, CA, USA

    Jeffry Nahmias

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Stephens, I., Sugrue, M., Skelly, B. (2023). Emergency Presentation of Small Bowel Tumours. In: Tarasconi, A., Bui, S., Chirica, M., Roth, G., Nahmias, J. (eds) Oncologic Surgical Emergencies. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-031-36860-8_7

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  • DOI: https://doi.org/10.1007/978-3-031-36860-8_7

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