Primary Surgical Therapy

For patients with localized adenocarcinomas of the small bowel wide segmental resection is done with curative intent.
Pancreaticoduodenectomy is required for tumours arising from the first and second portions of the duodenum.
A right hemicolectomy is indicated for tumours of the distal ileum.
For those with metastatic disease and no tissue diagnosis, biopsy for diagnostic purposes is essential. Palliative resection or bypass of the primary tumour may be done in patients with obstructive symptoms while patients with clinically significant active bleeding may require resection.

SOURCE: Primary Surgical Therapy ( )
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