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Article: Resectable Distal Duodenal Gastrointestinal Stromal Tumour Presenting with Features of Anaemia.

Goyal, Tushar / Dokania, Manoj Kumar / Rana, Anil Singh Kumar / Agarwal, Nitin / Jain, Atul / Sharma, Lalit

Journal of the West African College of Surgeons

2023  Volume 14, Issue 1, Page(s) 113–117

Abstract: Although gastrointestinal stromal tumours (GISTs) are encountered all along the gastrointestinal tract, duodenal GISTs are uncommon and account for <5% of the cases. A 45-year-old woman presented chiefly with anaemia and associated symptoms, whom on ... ...

Abstract Although gastrointestinal stromal tumours (GISTs) are encountered all along the gastrointestinal tract, duodenal GISTs are uncommon and account for <5% of the cases. A 45-year-old woman presented chiefly with anaemia and associated symptoms, whom on further evaluation was found to have a non-metastatic GIST in the distal duodenum sparing the pancreas and major vasculature. Patient was undertaken for segmental duodenectomy with the help of advanced bipolar energy device (tumour occupying D3-D4 with 1 cm proximal margin and 15 cm jejunum) preserving the pancreas and ampulla with end-to-end duodenojejunostomy with an uneventful postoperative course and clear margins on histopathology. Thus, the patient underwent a less morbid procedure with satisfactory oncological outcome and early resumption of activity. This highlights the need to conduct more trials to gather high level evidence in favour of conservative resection and its oncological adequacy and impact on overall survival and recurrence.
Language English
Publishing date 2023-12-14
Publishing country India
Document type Case Reports
ISSN 2276-6944
ISSN 2276-6944
DOI 10.4103/jwas.jwas_95_23
Database MEDical Literature Analysis and Retrieval System OnLINE

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