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Successful Laparoscopic Sleeve Gastrectomy in Emergency for a Gastric Gastrointestinal Stomal Tumor (GIST) with Acute Bleeding: A Case Report

Patient: Male, 67 Final Diagnosis: Gastric GIST Symptoms: Chest pain • hematemesis • melena • shock Medication: — Clinical Procedure: Laparoscopic sleeve gastrectomy Specialty: Surgery OBJECTIVE: Management of emergency care BACKGROUND: Gastrointestinal stomal tumors (GISTs) are the most common mese...

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Autores principales: Chetta, Nicola, Martines, Gennaro, Picciariello, Arcangelo, Capuano, Palma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066973/
https://www.ncbi.nlm.nih.gov/pubmed/30026461
http://dx.doi.org/10.12659/AJCR.909798
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author Chetta, Nicola
Martines, Gennaro
Picciariello, Arcangelo
Capuano, Palma
author_facet Chetta, Nicola
Martines, Gennaro
Picciariello, Arcangelo
Capuano, Palma
author_sort Chetta, Nicola
collection PubMed
description Patient: Male, 67 Final Diagnosis: Gastric GIST Symptoms: Chest pain • hematemesis • melena • shock Medication: — Clinical Procedure: Laparoscopic sleeve gastrectomy Specialty: Surgery OBJECTIVE: Management of emergency care BACKGROUND: Gastrointestinal stomal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract, and the stomach is the most commonly involved organ. Complete surgical resection with negative margins is the primary and only potentially curative treatment. Surgeon experience with minimally invasive gastric resections in addition to the tumor size and site has to be considered in the choice of laparoscopic or open surgical approach in order to remove the lesion. CASE REPORT: A 67-year-old male patient with an history of gastric ulcer presented 2 days after an esophagogastroduodenoscopy with an incidental finding of a 30-mm gastric submucosal lesion that was not histologically defined (biopsies were taken), chest pain in association with hematemesis, and melena. An initial attempt to achieve endoscopic hemostasis with epinephrine injection was followed by the recurrence of the gastric bleeding until the presentation of hemorrhagic shock. An emergent laparoscopic sleeve gastrectomy was then performed for hemorrhage control. There were no intra- or postoperative major complications and the histological findings led to the diagnosis of a gastrointestinal stromal tumor (GIST). CONCLUSIONS: Laparoscopic sleeve gastrectomy is a bariatric surgical treatment of morbid obesity. This report describes the application of a bariatric procedure in a life-threatening situation and illustrates how safe and effective it can be when performed by surgeons with excellent laparoscopic skills.
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spelling pubmed-60669732018-07-31 Successful Laparoscopic Sleeve Gastrectomy in Emergency for a Gastric Gastrointestinal Stomal Tumor (GIST) with Acute Bleeding: A Case Report Chetta, Nicola Martines, Gennaro Picciariello, Arcangelo Capuano, Palma Am J Case Rep Articles Patient: Male, 67 Final Diagnosis: Gastric GIST Symptoms: Chest pain • hematemesis • melena • shock Medication: — Clinical Procedure: Laparoscopic sleeve gastrectomy Specialty: Surgery OBJECTIVE: Management of emergency care BACKGROUND: Gastrointestinal stomal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract, and the stomach is the most commonly involved organ. Complete surgical resection with negative margins is the primary and only potentially curative treatment. Surgeon experience with minimally invasive gastric resections in addition to the tumor size and site has to be considered in the choice of laparoscopic or open surgical approach in order to remove the lesion. CASE REPORT: A 67-year-old male patient with an history of gastric ulcer presented 2 days after an esophagogastroduodenoscopy with an incidental finding of a 30-mm gastric submucosal lesion that was not histologically defined (biopsies were taken), chest pain in association with hematemesis, and melena. An initial attempt to achieve endoscopic hemostasis with epinephrine injection was followed by the recurrence of the gastric bleeding until the presentation of hemorrhagic shock. An emergent laparoscopic sleeve gastrectomy was then performed for hemorrhage control. There were no intra- or postoperative major complications and the histological findings led to the diagnosis of a gastrointestinal stromal tumor (GIST). CONCLUSIONS: Laparoscopic sleeve gastrectomy is a bariatric surgical treatment of morbid obesity. This report describes the application of a bariatric procedure in a life-threatening situation and illustrates how safe and effective it can be when performed by surgeons with excellent laparoscopic skills. International Scientific Literature, Inc. 2018-07-20 /pmc/articles/PMC6066973/ /pubmed/30026461 http://dx.doi.org/10.12659/AJCR.909798 Text en © Am J Case Rep, 2018 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Chetta, Nicola
Martines, Gennaro
Picciariello, Arcangelo
Capuano, Palma
Successful Laparoscopic Sleeve Gastrectomy in Emergency for a Gastric Gastrointestinal Stomal Tumor (GIST) with Acute Bleeding: A Case Report
title Successful Laparoscopic Sleeve Gastrectomy in Emergency for a Gastric Gastrointestinal Stomal Tumor (GIST) with Acute Bleeding: A Case Report
title_full Successful Laparoscopic Sleeve Gastrectomy in Emergency for a Gastric Gastrointestinal Stomal Tumor (GIST) with Acute Bleeding: A Case Report
title_fullStr Successful Laparoscopic Sleeve Gastrectomy in Emergency for a Gastric Gastrointestinal Stomal Tumor (GIST) with Acute Bleeding: A Case Report
title_full_unstemmed Successful Laparoscopic Sleeve Gastrectomy in Emergency for a Gastric Gastrointestinal Stomal Tumor (GIST) with Acute Bleeding: A Case Report
title_short Successful Laparoscopic Sleeve Gastrectomy in Emergency for a Gastric Gastrointestinal Stomal Tumor (GIST) with Acute Bleeding: A Case Report
title_sort successful laparoscopic sleeve gastrectomy in emergency for a gastric gastrointestinal stomal tumor (gist) with acute bleeding: a case report
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066973/
https://www.ncbi.nlm.nih.gov/pubmed/30026461
http://dx.doi.org/10.12659/AJCR.909798
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