@article {MORIS1267, author = {DEMETRIOS MORIS and IOANNIS NTANASIS-STATHOPOULOS and DIAMANTIS I. TSILIMIGRAS and STYLIANOS VAGIOS and ANDREAS KARAMITROS and GEORGIOS KARAOLANIS and JOHN GRINIATSOS and ALEXANDROS PAPALAMPROS and IOANNIS PAPACONSTANTINOU and GEORGIOS K. GLANTZOUNIS and ELEFTHERIOS SPARTALIS and DAN G. BLAZER, 3rd and EVANGELOS FELEKOURAS}, title = {Update on Surgical Management of Small Bowel Neuroendocrine Tumors}, volume = {38}, number = {3}, pages = {1267--1278}, year = {2018}, publisher = {International Institute of Anticancer Research}, abstract = {The widespread use of endoscopy and imaging in combination with the continuous update of the staging systems for neuroendocrine tumors has led to an increase in the incidence of small intestinal neuroendocrine tumors (si-NENs) globally. Despite high survival rates, severe complications may occur even in early stages due to the anatomic location of the primary site and the desmoplastic reaction. Surgery plays a central role in the management of patients with si-NENs. Excision of locoregional disease along with extensive lymph node dissection should be performed in fit patients, even in the presence of metastases. Multimodality treatment of liver metastases includes hepatectomy, ablative techniques and liver transplantation. Hormone therapy with somatostatine analogs is of high importance for symptomatic control; special caution should be exercised both pre- and intra-operatively. A multidisciplinary approach is essential in order to provide personalized therapeutics for patients with si-NENs. Clinical research and specialization in this field should be further encouraged.}, issn = {0250-7005}, URL = {https://ar.iiarjournals.org/content/38/3/1267}, eprint = {https://ar.iiarjournals.org/content/38/3/1267.full.pdf}, journal = {Anticancer Research} }