Clinical Features / Presentation of Small Bowel Adenocarcinoma

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • Many patients with small bowel adenocarcinoma present with abdominal pain:
    • But they may also present with:
      • Obstruction
      • Bleeding
      • Weight loss
      • Perforation
      • Jaundice:
        • Duodenal adenocarcinomas
  • Due to the rarity of the disease, variable symptoms, lack of physical findings, and diagnostic difficulty:
    • Delays in definitive diagnosis are common
  • Small bowel adenocarcinomas:
    • Are most common in the duodenum:
      • Followed by the jejunum:
        • And are least common in the ileum
  • Due to the difficulties in diagnosis and absence of reliable screening:
    • Greater than 50% of patients with small bowel adenocarcinoma:
      • Present at stage III to IV
  • Those with metastatic disease:
    • Most commonly metastasize to:
      • The liver and peritoneum

#Arrangoiz #CancerSurgeon #SurgicalOncologist #Teacher #SmallBowelCancer

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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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