Small bowel lymphoma: clinical update and challenges for the gastroenterologist

Curr Opin Gastroenterol. 2022 May 1;38(3):270-278. doi: 10.1097/MOG.0000000000000829. Epub 2022 Mar 11.

Abstract

Purpose of review: The diagnosis of small bowel lymphoma (SBL) can be challenging, as they are very rare and also have a varied presentation. In this review, we aim to provide a broad overview of the types of SBL and also about the various modalities used for their diagnosis. We also discuss the overview of treatment strategies for a gastroenterologist.

Recent findings: Small bowel capsule endoscopy (SBCE) and devise-assisted enteroscopy (DAE) has revolutionized the way we investigate the small bowel. DAE also makes it possible to obtain histological samples for further characterization of SBL. This has led to a significant improvement in diagnosis and management of the disease in conjunction with cross-sectional imagining.

Summary: The diagnosis and management of small bowel lymphoma remains challenging despite the development of newer techniques such as SBCE and DAE. The current available diagnostic modalities have limitations; in the absence of a gold standard, the current investigative modalities compliment each other in reaching the final diagnosis.

Publication types

  • Review

MeSH terms

  • Capsule Endoscopy* / methods
  • Cross-Sectional Studies
  • Gastroenterologists*
  • Humans
  • Intestine, Small / pathology
  • Lymphoma* / diagnosis
  • Lymphoma* / pathology
  • Lymphoma* / therapy