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.