Surgical Treatment of Small Bowel Neuroendocrine Tumors

Heather A. Farley, Rodney F. Pommier

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations


Neuroendocrine tumors of the small bowel are rare, slow-growing malignancies that commonly metastasize to nodes at the root of the mesentery and the liver. Liver metastases are associated with carcinoid syndrome. Mesenteric nodal masses can cause bowel obstruction, intestinal angina, or variceal hemorrhage. Patients die of liver failure or bowel obstruction. Primary resection is associated with improved survival rates. Selected patients may benefit from liver debulking operations. Liver resection has excellent survival rates even in the event of an incomplete resection, as well as improvement in hormonal symptoms. Radiofrequency ablation can help to preserve hepatic parenchyma during resection.

Original languageEnglish (US)
Pages (from-to)49-61
Number of pages13
JournalHematology/Oncology Clinics of North America
Issue number1
StatePublished - Feb 1 2016


  • Ablation
  • Liver
  • Mesenteric nodal mass
  • Metastasis
  • Neuroendocrine
  • Primary tumor
  • Resection

ASJC Scopus subject areas

  • Hematology
  • Oncology


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