Evaluation of suspected small bowel neoplasm identified as an incidental finding on cross sectional imaging

EGD: esophagogastroduodenoscopy; CT: computed tomography; FDG PET: fluorodeoxyglucose-positron emission tomography.

* Additional imaging (eg, CT chest) may be needed to evaluate for additional sites of metastatic disease.

¶ EGD is typically able to examine through the second portion of the duodenum; push enteroscopy can advanced into the proximal jejunum. Because of its capacity to advance deeply into small bowel, device-assisted enteroscopy may be endoscopic procedure of choice but success is variable, even in expert hands.