Successful management of unresectable small bowel lymphoma with laparoscopy-assisted surgical exclusion of the affected intestine.

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  • Additional Information
    • Source:
      Publisher: Wiley Blackwell Country of Publication: Japan NLM ID: 101506753 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-5910 (Electronic) Linking ISSN: 17585902 NLM ISO Abbreviation: Asian J Endosc Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: Japan : Wiley Blackwell
    • Subject Terms:
      Laparoscopy*; Ileal Neoplasms/*surgery ; Lymphoma/*surgery; Aged, 80 and over ; Humans ; Ileal Neoplasms/diagnostic imaging ; Ileal Neoplasms/pathology ; Lymphoma/diagnostic imaging ; Lymphoma/pathology ; Male
    • Abstract:
      The incidence of small bowel lymphoma (SBL) is increasing worldwide. In contrast to resectable SBL, the treatment of unresectable SBL is still contentious. Here, we report a case of unresectable SBL that was treated by laparoscopic exclusion of the affected intestine before systemic chemotherapy was administered. An 84-year-old man was diagnosed with primary SBL involving extranodal dissemination. The patient received prophylactic surgery, namely exclusion of the affected intestine. This therapy diminishes well-known and life-threatening complications, such as perforation, bleeding, and obstruction, which may still occur after chemotherapy, and it makes the administration of chemotherapy safer. In addition, the surgery provides easy access for direct endoscopic observation and biopsy, which are otherwise difficult to perform. Follow-up after two courses of chemotherapy showed that the patient had achieved complete remission. In conclusion, the procedure described here may be an effective strategy for unresectable SBL.
      (© 2017 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.)
    • Contributed Indexing:
      Keywords: intestinal lymphoma; perforation; prophylactic surgery
    • Publication Date:
      Date Created: 20170614 Date Completed: 20180706 Latest Revision: 20180706
    • Publication Date:
      20250114
    • Accession Number:
      10.1111/ases.12393
    • Accession Number:
      28609811