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Print ISSN: 1792-1074 Online ISSN: 1792-1082
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October-2017 Volume 14 Issue 4

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Case Report Open Access

Non‑exposed endoscopic wall‑inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report

  • Authors:
    • Prasit Mahawongkajit
    • Ajjana Techagumpuch
    • Worapop Suthiwartnarueput
  • View Affiliations / Copyright

    Affiliations: Department of Surgery, Faculty of Medicine, Thammasat University, Pathumthani 12120, Thailand, Department of Pathology, Faculty of Medicine, Thammasat University, Pathumthani 12120, Thailand
    Copyright: © Mahawongkajit et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 4746-4750
    |
    Published online on: August 22, 2017
       https://doi.org/10.3892/ol.2017.6787
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Abstract

Complete surgical resections are crucial for permanently curing patients with gastrointestinal stromal tumors (GISTs). Laparoscopic wedge resection is a widely accepted surgical treatment, but identifying the tumor margin from a serosal laparoscopic view is challenging when using this technique. Non‑exposed endoscopic wall‑inversion surgery (NEWS) for patients with gastric GISTs is a novel, minimally invasive surgical technique that may aid in complete resection of the tumor margin by endoscopy and laparoscopy methods, removing the whole layer of the gastric wall and the entire tumor, with decreased risk of peritoneal contamination or tumor spread to the peritoneum. To the best of our knowledge, the present study reports the first use of NEWS for a patient with small gastric GIST in Thailand. A 61‑year old female presented with jaundice and was diagnosed with acute viral hepatitis A. At 4 months, the severity of the symptoms had decreased but the serum transaminase in the liver function tests remained elevated. The computed tomography scans incidentally demonstrated a gastric mass that protruded into the lumen. Endoscopic examination revealed a 2.5x2.0‑cm sub‑epithelial tumor located in the posterior wall of the upper gastric body. The patient was informed and consented to undergo NEWS. No intraoperative or immediate postoperative complications were detected. The patient was discharged 5 days following the surgery. In a follow‑up visit 4 weeks subsequent to the surgery, the patient was healthy and without complications.
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Copy and paste a formatted citation
Spandidos Publications style
Mahawongkajit P, Techagumpuch A and Suthiwartnarueput W: Non‑exposed endoscopic wall‑inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report. Oncol Lett 14: 4746-4750, 2017.
APA
Mahawongkajit, P., Techagumpuch, A., & Suthiwartnarueput, W. (2017). Non‑exposed endoscopic wall‑inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report. Oncology Letters, 14, 4746-4750. https://doi.org/10.3892/ol.2017.6787
MLA
Mahawongkajit, P., Techagumpuch, A., Suthiwartnarueput, W."Non‑exposed endoscopic wall‑inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report". Oncology Letters 14.4 (2017): 4746-4750.
Chicago
Mahawongkajit, P., Techagumpuch, A., Suthiwartnarueput, W."Non‑exposed endoscopic wall‑inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report". Oncology Letters 14, no. 4 (2017): 4746-4750. https://doi.org/10.3892/ol.2017.6787
Copy and paste a formatted citation
x
Spandidos Publications style
Mahawongkajit P, Techagumpuch A and Suthiwartnarueput W: Non‑exposed endoscopic wall‑inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report. Oncol Lett 14: 4746-4750, 2017.
APA
Mahawongkajit, P., Techagumpuch, A., & Suthiwartnarueput, W. (2017). Non‑exposed endoscopic wall‑inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report. Oncology Letters, 14, 4746-4750. https://doi.org/10.3892/ol.2017.6787
MLA
Mahawongkajit, P., Techagumpuch, A., Suthiwartnarueput, W."Non‑exposed endoscopic wall‑inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report". Oncology Letters 14.4 (2017): 4746-4750.
Chicago
Mahawongkajit, P., Techagumpuch, A., Suthiwartnarueput, W."Non‑exposed endoscopic wall‑inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report". Oncology Letters 14, no. 4 (2017): 4746-4750. https://doi.org/10.3892/ol.2017.6787
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