Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST

Gastrointestinal stromal tumors (GISTs) typically develop in the stomach or small intestine and rarely involve the ampulla of Vater, with only 13 cases reported in the world literature since 2004. Most authors advocate performing pancreaticoduodenectomy for such lesions. However, this operation can...

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Autores principales: Spiel, Andrew, Patel, Ravi, Minter, Rebecca, Rahnemai Azar, Amir Ali, Agni, Rashmi, Bosch, Antonio, Gopal, Deepak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013300/
https://www.ncbi.nlm.nih.gov/pubmed/32082652
http://dx.doi.org/10.1155/2020/8418905
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author Spiel, Andrew
Patel, Ravi
Minter, Rebecca
Rahnemai Azar, Amir Ali
Agni, Rashmi
Bosch, Antonio
Gopal, Deepak
author_facet Spiel, Andrew
Patel, Ravi
Minter, Rebecca
Rahnemai Azar, Amir Ali
Agni, Rashmi
Bosch, Antonio
Gopal, Deepak
author_sort Spiel, Andrew
collection PubMed
description Gastrointestinal stromal tumors (GISTs) typically develop in the stomach or small intestine and rarely involve the ampulla of Vater, with only 13 cases reported in the world literature since 2004. Most authors advocate performing pancreaticoduodenectomy for such lesions. However, this operation can carry higher rates of morbidity and mortality compared to local resection. We present a case of a high-risk, invasive periampullary GIST and the multidisciplinary management approach to local resection with the aid of endoscopic ultrasound. In addition, this case shows no local recurrence at 3 months and a favorable clinical outcome at 1 year.
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spelling pubmed-70133002020-02-20 Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST Spiel, Andrew Patel, Ravi Minter, Rebecca Rahnemai Azar, Amir Ali Agni, Rashmi Bosch, Antonio Gopal, Deepak Case Rep Gastrointest Med Case Report Gastrointestinal stromal tumors (GISTs) typically develop in the stomach or small intestine and rarely involve the ampulla of Vater, with only 13 cases reported in the world literature since 2004. Most authors advocate performing pancreaticoduodenectomy for such lesions. However, this operation can carry higher rates of morbidity and mortality compared to local resection. We present a case of a high-risk, invasive periampullary GIST and the multidisciplinary management approach to local resection with the aid of endoscopic ultrasound. In addition, this case shows no local recurrence at 3 months and a favorable clinical outcome at 1 year. Hindawi 2020-01-30 /pmc/articles/PMC7013300/ /pubmed/32082652 http://dx.doi.org/10.1155/2020/8418905 Text en Copyright © 2020 Andrew Spiel et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Spiel, Andrew
Patel, Ravi
Minter, Rebecca
Rahnemai Azar, Amir Ali
Agni, Rashmi
Bosch, Antonio
Gopal, Deepak
Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST
title Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST
title_full Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST
title_fullStr Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST
title_full_unstemmed Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST
title_short Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST
title_sort endoscopic ultrasound in guiding local resection and ampullary preservation of a high-risk periampullary gist
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013300/
https://www.ncbi.nlm.nih.gov/pubmed/32082652
http://dx.doi.org/10.1155/2020/8418905
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