scholarly journals Endoscopic obturation with tissue adhesive for bleeding gastric stromal tumor: a case report

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199135
Author(s):  
Song Wang ◽  
Kaiguang Zhang ◽  
Mei Xiao
Keyword(s):  
Gastric Tube ◽  
Submucosal Tumor ◽  
Partial Gastrectomy ◽  
Stromal Tumor ◽  
Tissue Adhesive ◽  
Tarry Stool ◽  
Upper Gi ◽  
Upper Gi Endoscopy ◽  
Gastric Stromal Tumor ◽  
Stomach Fundus

Primary endoscopic hemostasis for bleeding gastrointestinal stromal tumor (GIST) is rarely reported. Herein, we report the case of a patient with a bleeding GIST that was treated with endoscopic obturation with tissue adhesive. A 46-year-old man presented with hematemesis and tarry stool for 1 day. Upper GI endoscopy revealed a bleeding submucosal tumor at the stomach fundus and an exposed pulsatile vessel was seen at the defect. Endoscopic obturation with tissue adhesive was performed to treat the defect and the bleeding was successfully stopped. No recurrence of bleeding was observed through a gastric tube, and 6 days after endoscopic obturation, the patient underwent laparoscopic partial gastrectomy. Endoscopic obturation with tissue adhesive is a feasible and effective method to treat bleeding GIST.

scholarly journals Gastric GIST: A Rare Cause of Upper GI Bleeding

2022 ◽  
Vol 12 (2) ◽  
pp. 119-122
Author(s):  
Md Mustafizur Rahman ◽  
Tanvir Ahmed ◽  
Mohammad Rashedul Hassan ◽  
Mansurul Islam
Keyword(s):  
Partial Gastrectomy ◽  
Gastric Gist ◽  
College Hospital ◽  
Medical College ◽  
Upper Gi ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gi Endoscopy ◽  
Lesser Curvature ◽  
Surgery Department ◽  
Mesenchymal Tumours

Gastrointestinal stromal tumours are the most common mesenchymal tumours of the gastrointestinal tract. This case report highlights the necessity of early surgical intervention in such cases to avoid mortality due to bleeding and to raise the awareness of rare causes of upper gastrointestinal bleed and their management. A 19 year old male presented in the surgery department of Shaheed Suhrawardy medical College Hospital with complaints of recurrent episodes of melena with anorexia and weight loss for 6 months. Apart from anaemia no significant findings were noted on physical examination. Investigations including upper GI endoscopy was not conclusive. So he underwent laparotomy which revealed an exophytic growth along the lesser curvature. Lower partial gastrectomy was done and histopathological and immunohistochemistry report showed evidence of benign low risk GIST. As the tumor was benign with no malignant potential imatinib therapy was not advocated. J Shaheed Suhrawardy Med Coll 2020; 12(2): 119-122

Acute upper GI bleeding caused by gastric stromal tumor

2007 ◽  
Vol 45 (05) ◽  
Author(s):  
S Hussam ◽  
N Dancs ◽  
T Kárász ◽  
Á Erényi ◽  
V Horváth ◽  
...  
Keyword(s):  
Stromal Tumor ◽  
Gi Bleeding ◽  
Upper Gi Bleeding ◽  
Upper Gi ◽  
Gastric Stromal Tumor

Single-Incision Laparoscopic Surgery for Partial Gastrectomy in Patients with a Gastric Submucosal Tumor

2012 ◽  
Vol 78 (4) ◽  
pp. 447-450 ◽  
Author(s):  
Tsunehiro Takahashi ◽  
Hiroya Takeuchi ◽  
Hirofumi Kawakubo ◽  
Yoshiro Saikawa ◽  
Norihito Wada ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Gastrointestinal Stromal Tumor ◽  
Single Incision ◽  
Submucosal Tumor ◽  
Partial Gastrectomy ◽  
Stromal Tumor ◽  
Pathological Examination ◽  
Single Incision Laparoscopic Surgery ◽  
Gastric Submucosal Tumor ◽  
Vessel Sealing

Since 2010, we have used single-incision laparoscopic surgery (SILS) for patients with a gastric submucosal tumor, as a less invasive alternative to conventional laparoscopy. From September 2010 to January 2011, five patients underwent a local resection for a gastric submucosal tumor using a SILS™ port at Keio University Hospital. We performed partial gastrectomy via the SILS™ port using a 5 mm flexible endoscope, a vessel sealing system, and a stapling device. There were no major intraoperative complications, conversion to laparotomy, or cases of tumor rapture. The average operative time was 89 (range, 72–129) minutes with minimal blood loss. Pathological examination revealed four cases of gastrointestinal stromal tumor and one case of inflammatory fibrosis caused by nonspecific inflammation. Although we examined only a small number of cases in this study, the results suggested that SILS gastrectomy can be performed safely and effectively for gastrointestinal stromal tumor.

PS01.201: A CASE OF GASTRO-STERNAL FISTULA OF GASTRIC TUBE AFTER ESOPHAGECTOMY: A CASE REPORT

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 106-107
Author(s):  
Daiki Kato ◽  
Kazuhiko Yamada ◽  
Daisuke Soma ◽  
Kyoko Nohara ◽  
Satoshi Yamashita ◽  
...  
Keyword(s):  
Case Report ◽  
Gastric Tube ◽  
Conflicts Of Interest ◽  
Nutritional Therapy ◽  
Malignant Cell ◽  
Anterior Chest Wall ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Gastric Tube Ulcer ◽  
Upper Gi Endoscopy

Abstract Background Peptic ulcer occurring in the gastric tube after esophagectomy sometimes penetrates into the mediastinal structures. We reported a case of sternal penetration of gastric tube ulcer successfully treated. Methods A CASE REPORT: Results A 73-years-old man who had undergone video-assisted thracoscopic esophagectomy (VATS) with 3-field lymphadenectomy reconstructed by retrosternal route after neoadjuvant chemo-radiation therapy. He visited outpatient complaining mild pain and redness of skin on anterior chest wall after 7 months of esophagectomy. Computed tomography (CT) revealed gastric tube ulcer penetrated into sternum. Upper GI endoscopy showed active ulcer in lower gastric tube. Biopsy was confirmed no malignant cell but bone tissues. He was admitted and started medication of proton pomp inhibiter and nutritional therapy. After 1 month he was improved symptoms and endoscopic findings. Conclusion There was a rare case of penetration into sternum due to gastric tube ulcer. In the literatures, 4 cases were reported about penetration into sternum. All four cases had symptoms of pain and redness of skin and were diagnosed with upper GI endoscopy and CT. Two cases underwent surgery and another cases were treated conservational therapy. Disclosure All authors have declared no conflicts of interest.

scholarly journals Diagnosing a Gastric Submucosal Tumor Using Jumbo Biopsy “Unroofing” Technique: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Sakshi Kapur ◽  
Pradeep Mahal ◽  
Levin Miles ◽  
Adnan Hussain
Keyword(s):  
Submucosal Tumor ◽  
Subtotal Gastrectomy ◽  
Gastric Carcinoid ◽  
Review Of The Literature ◽  
Gastric Submucosal Tumor ◽  
Upper Gi ◽  
Metastatic Lesions ◽  
Dyspeptic Symptoms ◽  
Upper Gi Endoscopy ◽  
Adequate Tissue

We report a case of a 40-year-old female who presented with dyspeptic symptoms for six months. Upper GI endoscopy revealed a submucosal nodule in gastric antrum. Using “jumbo biopsy unroofing technique” we were able to get adequate tissue for analysis. Histopathology revealed a type III gastric carcinoid. Patient was treated with laparoscopic distal subtotal gastrectomy with Roux-en-Y reconstruction and partial omentectomy. Although there was no evidence of metastasis on initial presentation, eighteen months later, patient was found to have multiple metastatic lesions in her liver. Patient’s lesions were treated withintra-arterial (hepatic artery) Yttrium-90.

scholarly journals Retrograde Jejunogastric l ntussusception (RJGI): Two Case Reports

2009 ◽  
Vol 22 (2) ◽  
pp. 257-260
Author(s):  
B Islam ◽  
M Hassan ◽  
MM Haque
Keyword(s):  
Wound Infection ◽  
Case Reports ◽  
Partial Gastrectomy ◽  
Postoperative Recovery ◽  
Superficial Wound Infection ◽  
Gi Endoscopy ◽  
Upper Gi ◽  
Jejunogastric Intussusception ◽  
Superficial Wound ◽  
Upper Gi Endoscopy

Retrograde  jejunogastric   intussusception (RJGI)   is   a   rare   but    potentially   very   serious complication of gastrojejunostomy or partial gastrectomy. Around 200 cases have been reported in literature till now. This paper reports two cases of RJGI of efferent loops developed 20 years and 10 years after gastrojejunostomy of a 70 years and 78 years old man respectively. Both the patients presented with sudden ab dominal  pain and hematemesis. Upper GI-endoscopy established the diagnosis. On emergency basis laparotomy was done and intussusception was reduced through gastrotomy. Efferent loop was found viable in case no 01, but gangrenous in case no 02, where resection was done. In both the cases the efferent loops were fixed to anterior parietal wall to prevent recurrence. Postoperative recovery were uneventful except minor superficial wound infection in the second case.TAJ 2009; 22(1): 257-260

USE OF ROADMAP FLUOROSCOPY IN UPPER GI ENDOSCOPY

2020 ◽  
Author(s):  
J Weigt ◽  
W Elhossary ◽  
W Obst ◽  
P Maciej
Keyword(s):  
Gi Endoscopy ◽  
Upper Gi ◽  
Upper Gi Endoscopy

scholarly journals Preoperatively diagnosed gastric collision tumor with mixed adenocarcinoma and gastrointestinal stromal tumor: a case report and literature review

2021 ◽  
Author(s):  
Kunihiko Matsuno ◽  
Yoshikazu Kanazawa ◽  
Daisuke Kakinuma ◽  
Nobutoshi Hagiwara ◽  
Fumihiko Ando ◽  
...  
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Distal Gastrectomy ◽  
Submucosal Tumor ◽  
Smooth Muscle Actin ◽  
Collision Tumor ◽  
Stromal Tumor ◽  
Lower Body ◽  
Muscle Actin ◽  
First Case ◽  
S 100

AbstractReports of gastric collision tumors, comprising adenocarcinoma and gastrointestinal stromal tumor, are extremely rare. Here, we report the case of a 68-year-old male who was diagnosed with a lower-body, moderately differentiated, tubular-type adenocarcinoma and submucosal tumor and underwent an elective D2 distal gastrectomy. The tumor cells of the gastrointestinal stromal tumor were positive for H-caldesmon and CD117, weakly positive for smooth muscle actin and DOG-1, and negative for desmin, S-100 protein, CD31, and AE1/AE3. The tumor had grown into a mixed form of adenocarcinoma and gastrointestinal stromal tumor. Thus, we report the first case of a preoperatively diagnosed collision tumor in the stomach consisting of adenocarcinoma and gastrointestinal stromal tumor.

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