Clinicopathological Study of Small Bowel and Related Mesenteric Tumour

This is clinicopathological and management study of 25 patients in a tertiary care hospital during period from Nov 2013 to Nov 2015 In the study conducted in our Institute, the incidence is 0.25% of all patients admitted in the surgery department over the span of 2 years. In our study, the most common tumour found in small bowel is GIST [40%] followed by adenocarcinoma [20%] and Carcinoid [16%].Differences might be due to small sample size. In our study, the age distribution is from 25-72 years with majority [48%] are in the age group of 5059 years and 80% of the patients are above 50 years. This proves the general concenses. In my series, males having small bowel tumours are predominant [68%] as compared to females which is similar as seen in other series conducted In the present study, the most common symptom found in patients with small bowel tumours is abdominal pain [76%], followed by abdominal mass [44%], anaemia [ 40%], nausea and vomiting [36%] and weight loss [32%]. In my study, ultrasonography, CT scan abdomen, Upper GI endoscopy, barium meal follow through were used for diagnosis and found that CT scan of the abdomen is superior to the other modalities in the diagnosis of small bowel. This finding are similar to findings conducted in other study. INTRODUCTION In general, the tumours of small intestine are rare. They are difficult to diagnose because they are usually asymptomatic or present with vague symptoms. If a small intestinal tumour is symptomatic, there is 75% chance that it is malignant and if asymptomatic a 95% chance it is benign. In case of malignant tumours, by the time the diagnosis is made the tumour would already have metastasized. The symptoms when present are usually mild and chronic. This is because of distensibility of small bowel. Thus intestinal obstruction when present is chronic and intermittent. Bleeding from the tumours, though present in 25% is usually mild. The useful investigations for diagnosis of other scanning methods like ultrasonography and CT are not very useful in these situations due to the presence of gas within the bowel. Treatment modality differs depending on the type of tumour, site of the tumour and evidence of metastasis. Therefore this study is intended to find out: 1) the clinico-pathological presentations of small bowel tumours. 2) the incidence of small bowel and related mesenteric tumours. 3) the managements of small bowel and related mesenteric tumours. 4) the outcome of the treatment on follow up. www.jmscr.igmpublication.org Impact Factor 5.244 Index Copernicus Value: 83.27 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v4i11.64