Palliative bypass for small bowel carcinoid with mesenteric mass and vascular encasement

Re: Palliative bypass for small bowel carcinoid with mesenteric mass and vascular encasement

“…We thank Thomson et al for their interest in our paper and for sharing their experience with palliative bypass and providing important points for discussion. 1 We agree that in an elective situation or subacute bowel obstruction, the patient should be managed in the setting of a multidisciplinary team with appropriate staging. Our patient presented acutely with mechanical small bowel obstruction from discrete small bowel tumours rather than entrapment or kinking from the mesenteric mass, which was the rationale for palliative bypass in the setting of unresectable mesenteric disease.…”