Optimal management of GIST tumors located near the gastroesophageal junction: Case report and review of the literature. (2016)

• Record Type: Journal Article
• Authors: Ismael, Hishaam; Ragoza, Yury; Caccitolo, James; Cox, Steven
• Is Part Of: International journal of surgery case reports. Volume 25(2016)
• Page Start: 91
• Page End: 96
• Publication Date: 2016
• Subjects: GIST tumors -- Laparo-endoscopic resection -- Gastroesophageal junction tumors -- Laparoscopic wedge resection; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2016.06.006
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: There are several endoscopic, laparoscopic and open surgical procedures available for the management of GIST tumors near the GE junction. We present a case-report utilizing both endoscopy and laparoscopy to facilitate resection using the non-touch lesion-lifting technique. Pathology demonstrated a 4.7 cm GIST. The patient was discharged on post-operative day 3 with no complications. We include a full literature review and describe the various combined modalities available for successful resection. Abstract: Introduction: The safety and oncologic outcome of laparoscopic gastric GIST resection is well established especially for lesions <5 cm in diameter. The optimal management of GIST tumors near the GE junction remains unclear. Methods: We present a case-report of a 4.7 cm GIST tumor near the GE junction managed by endoscopically-assisted laparoscopic wedge resection (EAWR). We present a review of the literature highlighting the various combined laparo-endoscopic techniques available. Results: We used the non-touch lesion-lifting method to laparoscopically resect the GIST tumor under endoscopic guidance. There were no complications and the patient was discharged on postoperative day 3. Conclusions: Endoscopically-assisted laparoscopic wedge resections are feasible and safe for GIST tumors near the GE junction.