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Adenoma of small intestine

MedGen UID:
226995
•Concept ID:
C1302392
•
Neoplastic Process
Synonyms: Adenoma of Small Bowel; adenoma of small bowel; Adenoma of Small Intestine; adenoma of small intestine; Adenoma of the Small Bowel; adenoma of the small bowel; Adenoma of the Small Intestine; adenoma of the small intestine; Non-Ampullary Adenoma; Small Bowel Adenoma; small bowel adenoma; Small Intestinal Adenoma; small intestinal adenoma; small intestine adenoma
SNOMED CT: Adenoma of small intestine (399422005)
 
Monarch Initiative: MONDO:0021303

Definition

A neoplasm that arises from the glandular epithelium of the small intestine. It is a polypoid or flat circumscribed lesion. Morphologically, it is characterized by a proliferation of neoplastic glandular cells and it is associated with dysplasia. According to the growth pattern, it may be classified as tubular, villous, or tubulovillous. [from NCI]

Professional guidelines

PubMed

Management of pouch neoplasia: consensus guidelines from the International Ileal Pouch Consortium.
Kiran RP, Kochhar GS, Kariv R, Rex DK, Sugita A, Rubin DT, Navaneethan U, Hull TL, Ko HM, Liu X, Kachnic LA, Strong S, Iacucci M, Bemelman W, Fleshner P, Safyan RA, Kotze PG, D'Hoore A, Faiz O, Lo S, Ashburn JH, Spinelli A, Bernstein CN, Kane SV, Cross RK, Schairer J, McCormick JT, Farraye FA, Chang S, Scherl EJ, Schwartz DA, Bruining DH, Philpott J, Bentley-Hibbert S, Tarabar D, El-Hachem S, Sandborn WJ, Silverberg MS, Pardi DS, Church JM, Shen B
Lancet Gastroenterol Hepatol 2022 Sep;7(9):871-893. Epub 2022 Jul 5 doi: 10.1016/S2468-1253(22)00039-5. PMID: 35798022
Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.
Vanbiervliet G, Strijker M, Arvanitakis M, Aelvoet A, Arnelo U, Beyna T, Busch O, Deprez PH, Kunovsky L, Larghi A, Manes G, Moss A, Napoleon B, Nayar M, Pérez-Cuadrado-Robles E, Seewald S, Barthet M, van Hooft JE
Endoscopy 2021 Apr;53(4):429-448. Epub 2021 Mar 16 doi: 10.1055/a-1397-3198. PMID: 33728632
Management of small bowel polyps: A literature review.
de Latour RA, Kilaru SM, Gross SA
Best Pract Res Clin Gastroenterol 2017 Aug;31(4):401-408. Epub 2017 Jun 27 doi: 10.1016/j.bpg.2017.06.003. PMID: 28842049

Recent clinical studies

Etiology

Clinical outcomes of endoscopic papillectomy of ampullary adenoma: A multi-center study.
Choi SJ, Lee HS, Kim J, Choe JW, Lee JM, Hyun JJ, Yoon JH, Kim HJ, Kim JS, Choi HS
World J Gastroenterol 2022 May 7;28(17):1845-1859. doi: 10.3748/wjg.v28.i17.1845. PMID: 35633905Free PMC Article
Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.
Vanbiervliet G, Strijker M, Arvanitakis M, Aelvoet A, Arnelo U, Beyna T, Busch O, Deprez PH, Kunovsky L, Larghi A, Manes G, Moss A, Napoleon B, Nayar M, Pérez-Cuadrado-Robles E, Seewald S, Barthet M, van Hooft JE
Endoscopy 2021 Apr;53(4):429-448. Epub 2021 Mar 16 doi: 10.1055/a-1397-3198. PMID: 33728632
Small Bowel Neoplasms and Polyps.
Pourmand K, Itzkowitz SH
Curr Gastroenterol Rep 2016 May;18(5):23. doi: 10.1007/s11894-016-0497-x. PMID: 27086004
The epidemiology and pathogenesis of neoplasia in the small intestine.
Schottenfeld D, Beebe-Dimmer JL, Vigneau FD
Ann Epidemiol 2009 Jan;19(1):58-69. doi: 10.1016/j.annepidem.2008.10.004. PMID: 19064190Free PMC Article
Small-bowel tumors.
Minardi AJ Jr, Zibari GB, Aultman DF, McMillan RW, McDonald JC
J Am Coll Surg 1998 Jun;186(6):664-8. doi: 10.1016/s1072-7515(98)00092-1. PMID: 9632155

Diagnosis

Updates in the diagnosis and management of non-ampullary small-bowel polyposis.
Lucaciu L, Yano T, Saurin JC
Best Pract Res Clin Gastroenterol 2023 Jun-Aug;64-65:101852. Epub 2023 Jul 22 doi: 10.1016/j.bpg.2023.101852. PMID: 37652652
Endoscopic Papillectomy.
Campos ST, Bruno MJ
Gastrointest Endosc Clin N Am 2022 Jul;32(3):545-562. Epub 2022 May 11 doi: 10.1016/j.giec.2022.01.005. PMID: 35691696
Insights and updates on endoscopic papillectomy.
Yamamoto K, Iwasaki E, Itoi T
Expert Rev Gastroenterol Hepatol 2020 Jun;14(6):435-444. Epub 2020 May 22 doi: 10.1080/17474124.2020.1766965. PMID: 32380873
Management of small bowel polyps: from small to big.
Saurin JC, Benech N, Pioche M
Curr Opin Gastroenterol 2019 May;35(3):250-256. doi: 10.1097/MOG.0000000000000518. PMID: 30844897
Enteroscopy.
Mönkemüller K, Bellutti M, Fry LC, Malfertheiner P
Best Pract Res Clin Gastroenterol 2008;22(5):789-811. doi: 10.1016/j.bpg.2008.05.005. PMID: 18790433

Therapy

Clinical outcomes of endoscopic papillectomy of ampullary adenoma: A multi-center study.
Choi SJ, Lee HS, Kim J, Choe JW, Lee JM, Hyun JJ, Yoon JH, Kim HJ, Kim JS, Choi HS
World J Gastroenterol 2022 May 7;28(17):1845-1859. doi: 10.3748/wjg.v28.i17.1845. PMID: 35633905Free PMC Article
Insights and updates on endoscopic papillectomy.
Yamamoto K, Iwasaki E, Itoi T
Expert Rev Gastroenterol Hepatol 2020 Jun;14(6):435-444. Epub 2020 May 22 doi: 10.1080/17474124.2020.1766965. PMID: 32380873
Gastroduodenal mucosal defense.
Nayeb-Hashemi H, Kaunitz JD
Curr Opin Gastroenterol 2009 Nov;25(6):537-43. doi: 10.1097/MOG.0b013e328330da7b. PMID: 19654540
Endoscopic papillectomy.
Hernandez LV, Catalano MF
Curr Opin Gastroenterol 2008 Sep;24(5):617-22. doi: 10.1097/MOG.0b013e3283088e12. PMID: 19122504
Enteroscopy.
Mönkemüller K, Bellutti M, Fry LC, Malfertheiner P
Best Pract Res Clin Gastroenterol 2008;22(5):789-811. doi: 10.1016/j.bpg.2008.05.005. PMID: 18790433

Prognosis

Small Bowel Neoplasms and Polyps.
Pourmand K, Itzkowitz SH
Curr Gastroenterol Rep 2016 May;18(5):23. doi: 10.1007/s11894-016-0497-x. PMID: 27086004
Glucose-6-phosphatase deficiency.
Froissart R, Piraud M, Boudjemline AM, Vianey-Saban C, Petit F, Hubert-Buron A, Eberschweiler PT, Gajdos V, Labrune P
Orphanet J Rare Dis 2011 May 20;6:27. doi: 10.1186/1750-1172-6-27. PMID: 21599942Free PMC Article
The epidemiology and pathogenesis of neoplasia in the small intestine.
Schottenfeld D, Beebe-Dimmer JL, Vigneau FD
Ann Epidemiol 2009 Jan;19(1):58-69. doi: 10.1016/j.annepidem.2008.10.004. PMID: 19064190Free PMC Article
Enteroscopy.
Mönkemüller K, Bellutti M, Fry LC, Malfertheiner P
Best Pract Res Clin Gastroenterol 2008;22(5):789-811. doi: 10.1016/j.bpg.2008.05.005. PMID: 18790433
Small-bowel tumors.
Minardi AJ Jr, Zibari GB, Aultman DF, McMillan RW, McDonald JC
J Am Coll Surg 1998 Jun;186(6):664-8. doi: 10.1016/s1072-7515(98)00092-1. PMID: 9632155

Clinical prediction guides

Small Bowel Epithelial Precursor Lesions: A Focus on Molecular Alterations.
Vanoli A, Grillo F, Furlan D, Arpa G, Grami O, Guerini C, Riboni R, Mastracci L, Di Sabatino A
Int J Mol Sci 2021 Apr 22;22(9) doi: 10.3390/ijms22094388. PMID: 33922305Free PMC Article
Approaches to Biopsy and Resection Specimens from the Ampulla.
Xue Y, Reid MD
Surg Pathol Clin 2020 Sep;13(3):453-467. Epub 2020 Jul 15 doi: 10.1016/j.path.2020.05.005. PMID: 32773194
Analysis of clinical and histopathological findings in Russell body gastritis and duodenitis.
Altindag SD, Cakir E, Ekinci N, Avci A, Dilek FH
Ann Diagn Pathol 2019 Jun;40:66-71. Epub 2019 Apr 3 doi: 10.1016/j.anndiagpath.2019.04.003. PMID: 31031217
Hippo pathway regulation of gastrointestinal tissues.
Yu FX, Meng Z, Plouffe SW, Guan KL
Annu Rev Physiol 2015;77:201-27. Epub 2014 Sep 29 doi: 10.1146/annurev-physiol-021014-071733. PMID: 25293527
Enteroscopy.
Mönkemüller K, Bellutti M, Fry LC, Malfertheiner P
Best Pract Res Clin Gastroenterol 2008;22(5):789-811. doi: 10.1016/j.bpg.2008.05.005. PMID: 18790433

Recent systematic reviews

Clinicopathological Features and Management of Appendiceal Mucoceles: A Systematic Review.
Morano WF, Gleeson EM, Sullivan SH, Padmanaban V, Mapow BL, Shewokis PA, Esquivel J, Bowne WB
Am Surg 2018 Feb 1;84(2):273-281. PMID: 29580358
Histologic scoring indices for evaluation of disease activity in Crohn's disease.
Novak G, Parker CE, Pai RK, MacDonald JK, Feagan BG, Sandborn WJ, D'Haens G, Jairath V, Khanna R
Cochrane Database Syst Rev 2017 Jul 21;7(7):CD012351. doi: 10.1002/14651858.CD012351.pub2. PMID: 28731502Free PMC Article
Endoscopic versus surgical treatment of ampullary adenomas: a systematic review and meta-analysis.
Mendonça EQ, Bernardo WM, Moura EG, Chaves DM, Kondo A, Pu LZ, Baracat FI
Clinics (Sao Paulo) 2016 Jan;71(1):28-35. doi: 10.6061/clinics/2016(01)06. PMID: 26872081Free PMC Article
Review of the investigation and surgical management of resectable ampullary adenocarcinoma.
Askew J, Connor S
HPB (Oxford) 2013 Nov;15(11):829-38. Epub 2013 Jan 10 doi: 10.1111/hpb.12038. PMID: 23458317Free PMC Article
Chemoprevention of colorectal cancer: systematic review and economic evaluation.
Cooper K, Squires H, Carroll C, Papaioannou D, Booth A, Logan RF, Maguire C, Hind D, Tappenden P
Health Technol Assess 2010 Jun;14(32):1-206. doi: 10.3310/hta14320. PMID: 20594533

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