Endoscopic full-thickness resection for a gastrointestinal stromal tumor in a liver transplant recipient: A case report. Issue 31 (August 2019)

• Record Type: Journal Article
• Authors: Xie, Man; Rao, Wei; Zhang, Peng; Zhao, Qingxi; Tian, Zibin
• Other Names: A. N/ section editor.
• Is Part Of: Medicine. Volume 98:Issue 31(2019)
• Publication Date: 2019-08
• Subjects: endoscopic full-thickness resection -- gastrointestinal stroma tumor -- liver transplantation; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000016669
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: With the development of endoscopic technique and the improvement of available accessories, endoscopic therapy became to play an important role in the management of gastrointestinal submucosal tumors (SMTs). Patients concerns: A gastric SMT which was suspected to be gastrointestinal stroma tumor (GIST) was diagnosed in a liver transplant recipient who received transplanted operation 11 months ago. Diagnosis: gastric SMT, post-liver transplantation Interventions: Endoscopic full-thickness resection (EFR) was preformed to remove the tumor. The operation time was 50 minutes and oral immunosuppressant drug was not interrupted in the postoperative period. Outcomes: The clinical course was uneventful and slightly elevated liver enzyme was observed on the fourth day after operation. The pathological diagnosis was GIST with complete capsule. Lessons: Our successful experience showed that EFR is a feasible, safe and efficacious treatment for small (<2 cm) gastric GIST in liver transplant recipients, providing the advantages of little damage, short operative time, stable graft function, without compromising postoperative outcomes.