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A Case of a Gastric Gastrointestinal Stromal Tumor in the Esophagogastric Junction Successfully Treated by Laparoscopic Intragastric Resection by Atsushi Yasuda; Yutaka Kimura; Osamu Shiraishi; Masayuki Shinkai; Motohiro Imano; Takushi Yasuda is a Medicine article available to read on EtoBox.

What is A Case of a Gastric Gastrointestinal Stromal Tumor in the Esophagogastric Junction Successfully Treated by Laparoscopic Intragastric Resection about?

Introduction and importance Laparoscopic wedge resection has been widely performed for gastric gastrointestinal stromal tumors (GISTs). However, because GISTs in the esophagogastric junction (EGJ) are prone to deformity and postoperative functional disorders, laparoscopic resection is technically very difficult and rarely reported. Herein, we report a case of a GIST in the EGJ successfully treated by laparoscopic intragastric surgery (IGS). Case presentation A 58-year-old man with a GIST, which was intragastric growth type, 2.5 cm in diameter, located in the EGJ, and confirmed by upper gastrointestinal endoscope and endoscopic ultrasound-guided fine needle aspiration biopsy. We successfully performed IGS and the patient was discharged without complications. Clinical discussion Using laparoscopic wedge resection by exogastric approach, it is problematic to resect a gastric SMT located at the EGJ because of the difficulty in viewing the surgical field and additional concerns of deformation of the EGJ. We suppose IGS as a suitable method for such tumors. Conclusion Laparoscopic IGS for gastric GIST was useful in terms of safety and convenience even though the tumor was in the ECJ.

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Author

Atsushi Yasuda; Yutaka Kimura; Osamu Shiraishi; Masayuki Shinkai; Motohiro Imano; Takushi Yasuda

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)