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Korean J Gastroenterol  <  Volume 72(6); 2018 <  Articles

Korean J Gastroenterol 2018; 72(6): 277-280  https://doi.org/10.4166/kjg.2018.72.6.277
Small Bowel Tumors and Polyposis: How to Approach and Manage?
Bong Min Ko
Digestive Disease Center and Research Institute, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea
Correspondence to: Bong Min Ko, Digestive Disease Center and Research Institute, Department of Internal Medicine, Soonchunhyang University College of Medicine, 170 Jomaru-ro, Bucheon 14584, Korea. Tel: +82-32-621-5213, Fax : +82-32-621-5080, E-mail: kopa9445@schmc.ac.kr, ORCID: https://orcid.org/0000-0002-0635-4454
Received: December 13, 2018; Revised: December 20, 2018; Accepted: December 20, 2018; Published online: December 25, 2018.
© The Korean Journal of Gastroenterology. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Although small bowel the mainly occupies the most part of the gastrointestinal tract, small intestine tumors are rare, insidious in clinical presentation, and frequently represent a diagnostic and management challenge. Small bowel tumors are generally classified as epithelial, mesenchymal, lymphoproliferative, or metastatic. Familial adenomatous polyposis and Peutz-Jeghers syndrome are the most common inherited intestinal polyposis syndromes. Until the advent of capsule endoscopy (CE) and device-assisted enteroscopy (DAE) coupled with the advances in radiology, physicians had limited diagnostic examination for small bowel examination. CE and new radiologic imaging techniques have made it easier to detect small bowel tumors. DAE allows more diagnosis and deeper reach in small intestine. CT enteroclysis/CT enterography (CTE) provides information about adjacent organs as well as pictures of the intestinal lumen side. Compared to CTE, Magnetic resonance enteroclysis/enterography provides the advantage of soft tissue contrast and multiplane imaging without radiation exposure. Treatment and prognosis are tailored to each histological subtype of tumors.
Keywords: Small bowel; Intestinal polyposis


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