In which case, small intestine tumor needs to be removed?

Small bowel tumor is one of the rare diseases and difficult to diagnose. Small bowel tumors account for 1-5% of gastrointestinal tumors. Meanwhile, small bowel cancer accounts for about 10,190 cases and about 1390 deaths each year in the United States. Small bowel tumors are divided into many types including:
Benign small bowel tumors: smooth muscle tumors, lipomas, neurofibromas, and fibroids. All of these tumors can cause abdominal distension, bleeding and pain, diarrhea, and if blocked, vomiting. Small bowel polyps are not as common as colon polyps. Adenocarcinoma: is a type of malignant tumor but also uncommon. Usually adenocarcinoma occurs in the duodenum or proximal jejunum and causes mild symptoms. In patients with Crohn's disease with involvement of the small intestine, the majority of tumors tend to occur in the distal and in recurrently inflamed bowel segments. Primary malignant lymphomas that usually arise in the ileum may occur in a long, hard segment of the intestine. Over a long period of untreated abdominal disease, small bowel lymphoma can develop. Carcinoid tumors: occur most often in the small intestine, especially in the ileum and appendix. In these places more developed lesions can become malignancies. Most carcinoid tumors occur in 50% of cases. Tumors >2cm in diameter approximately 80% have metastasized locally or to the liver at the time of detection. About 30% of small bowel carcinoid tumors cause obstruction, bleeding pain, or carcinoid syndrome. Kaposi's sarcoma was first described as a disease of elderly Jewish and Italian men, occurring in outbreaks in Africans, organ transplant recipients, and AIDS patients. These people are related to gastrointestinal diseases accounting for about 40-60%. Lesions can occur anywhere in the gastrointestinal tract, but are most often in the stomach, small intestine, or distal colon. Gastrointestinal lesions are often asymptomatic but can cause diarrhea, hemorrhage, anemia, and intussusception. Treatment of Kaposi sarcoma depends on many cell types as well as the location and extent of the lesion. Large bowel tumors can lead to obstruction of the flow of food, causing intestinal obstruction, causing abdominal pain. In addition, the prolonged bleeding of the tumor will lead to anemia and fatigue, causing the patient to eat poorly, causing a weakened immune system and other diseases.

Treatment of small bowel tumors depends on many factors such as size, location,... First, the patient will be diagnosed by enteroclysis, which is the most common method for intestinal mass lesions. young. Small bowel thrust endoscopy with an enteroscope can be used to visualize and biopsy the tumor. Video endoscopy using capsules can help identify small bowel lesions, especially sites of bleeding, a swallowed capsule transmits at 2 images/second to an external receiver. body. The capsules are not initially useful in the stomach or colon as it drifts to larger organs. A colon capsule camera with better optics and illumination is being developed for use in larger diameter organs.
Treatment of small bowel tumors with surgical removal of the small bowel tumor eg electrocautery, thermal ablation or laser therapy at the time of endoscopic or surgical surgery may be an alternative to surgical resection. The cases that need resection of intestinal tumor are when the tumor size is large and the patient is suspected of having intestinal obstruction, intussusception. In particular, small bowel carcinoid tumors often cause obstruction, bleeding, and pain. Small bowel carcinoid tumors are treated with surgical resection, even multiple procedures.
In summary, small bowel tumor is a rare form of tumor that is difficult to screen for, diagnose and very dangerous if not promptly intervened. Therefore, when a patient shows signs of gastrointestinal symptoms, it is necessary to immediately go to a specialized medical facility for examination, early detection and timely treatment.