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


Journal

Case reports in gastrointestinal medicine
ISSN: 2090-6528
Titre abrégé: Case Rep Gastrointest Med
Pays: United States
ID NLM: 101580185

Informations de publication

Date de publication:
2020
Historique:
received: 14 08 2019
revised: 04 01 2020
accepted: 09 01 2020
entrez: 22 2 2020
pubmed: 23 2 2020
medline: 23 2 2020
Statut: epublish

Résumé

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.

Identifiants

pubmed: 32082652
doi: 10.1155/2020/8418905
pmc: PMC7013300
doi:

Types de publication

Case Reports

Langues

eng

Pagination

8418905

Informations de copyright

Copyright © 2020 Andrew Spiel et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

Références

World J Gastroenterol. 2014 Apr 28;20(16):4817-21
pubmed: 24782637
J Gastrointest Cancer. 2017 Dec;48(4):376-378
pubmed: 27251298
Radiographics. 1993 Jan;13(1):193-212
pubmed: 8426928
World J Gastroenterol. 2015 Jul 14;21(26):7970-87
pubmed: 26185369
Gastrointest Endosc. 2017 Jun;85(6):1117-1132
pubmed: 28385194
J Surg Oncol. 2008 Apr 1;97(5):388-91
pubmed: 18163461
Int J Surg Case Rep. 2018;53:358-361
pubmed: 30472631
J Postgrad Med. 2006 Jul-Sep;52(3):204-6
pubmed: 16855323
Arch Surg. 2007 Sep;142(9):899-900
pubmed: 17875846
Gastrointest Endosc. 2006 Jul;64(1):29-34
pubmed: 16813799
Am J Pathol. 1998 May;152(5):1259-69
pubmed: 9588894
Hum Pathol. 2002 May;33(5):459-65
pubmed: 12094370
Ann Surg. 2000 Jan;231(1):51-8
pubmed: 10636102

Auteurs

Andrew Spiel (A)

Division of Gastroenterology & Hepatology, Department of Medicine, Univeristy of WIsconsin School of Medicine and Public Health, Madison, WI, USA.

Ravi Patel (R)

Division of Gastroenterology & Hepatology, Department of Medicine, Univeristy of WIsconsin School of Medicine and Public Health, Madison, WI, USA.

Rebecca Minter (R)

Division of Surgical Oncology, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Amir Ali Rahnemai Azar (AA)

Division of Surgical Oncology, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Rashmi Agni (R)

Department of Pathology & Laboratory Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Antonio Bosch (A)

Division of Gastroenterology & Hepatology, Department of Medicine, Univeristy of WIsconsin School of Medicine and Public Health, Madison, WI, USA.

Deepak Gopal (D)

Division of Gastroenterology & Hepatology, Department of Medicine, Univeristy of WIsconsin School of Medicine and Public Health, Madison, WI, USA.

Classifications MeSH