[Surgical interventions for small bowel tumors at our department in the last 3 years]

Adenocarcinoma of the small intestine is a rare type of cancer in Hungary as well as in the world. It is more commonly found in patients with coeliac disease (lymphoma) and in hereditary bowel cancer syndromes (hereditary non-polyposis colorectal cancer, familial adenomatous polyposis, and Peutz-Jegher syndrome). Due to the relatively featureless presentation there is usually a few months delay in diagnosis of the disease In addition, small bowel cancer is frequently diagnosed on laparotomy only. We analyzed the small bowel malignancies treated in our department in the last 3 years from the point of view of incidence, preoperative evaluation, surgical intervention, and pathology. All patients were admitted as emergencies, so they underwent rapid investigations, and emergency or semi-emergency surgical interventions. Importantly, preoperative investigations helped to establish operative indication only rather than providing exact diagnosis. The operative procedure was small bowel resection in all cases. Pathological diagnosis included GIST, adenocarcinoma, and non-Hodgkin lymphoma as well.