Endoscopic therapy of small-bowel neoplasms

Although many patients with small-bowel tumors require surgical resection, the incorporation of device-assisted enteroscopy into clinical practice has changed the management of smaller tumors and polyps, particularly in those with Peutz-Jeghers syndrome and familial adenomatous polyposis. The endoscopic management of select patients with small-bowel tumors can reduce the incidence of polyp-related complications (intussusception, obstruction, bleeding, and malignant transformation) and may reduce the need for surgical intervention.