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The Surgical Management of Small Bowel Neuroendocrine Tumors: Consensus Guidelines of the North American Neuroendocrine Tumor Society (NANETS)
Journal article   Open access   Peer reviewed

The Surgical Management of Small Bowel Neuroendocrine Tumors: Consensus Guidelines of the North American Neuroendocrine Tumor Society (NANETS)

James R Howe, Kenneth Cardona, Douglas L Fraker, Electron Kebebew, Brian R Untch, Yi-Zarn Wang, Calvin H Law, Eric H Liu, Michelle K Kim, Yusuf Menda, …
Pancreas, Vol.46(6), pp.715-731
07/2017
DOI: 10.1097/MPA.0000000000000846
PMCID: PMC5502737
PMID: 28609357
url
https://www.ncbi.nlm.nih.gov/pmc/articles/5502737View
Open Access

Abstract

Small bowel neuroendocrine tumors (SBNETs) have been increasing in frequency over the past decades, and are now the most common type of small bowel tumor. Consequently, general surgeons and surgical oncologists are seeing more patients with SBNETs in their practices than ever before. The management of these patients is often complex, owing to their secretion of hormones, frequent presentation with advanced disease, and difficulties with making the diagnosis of SBNETs. Despite these issues, even patients with advanced disease can have long-term survival. There are a number of scenarios which commonly arise in SBNET patients where it is difficult to determine the optimal management from the published data. To address these challenges for clinicians, a consensus conference was held assembling experts in the field to review and discuss the available literature and patterns of practice pertaining to specific management issues. This paper summarizes the important elements from these studies and the recommendations of the group for these questions regarding the management of SBNET patients.

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