scholarly journals Gastric Glomus Tumor: A Rare Cause of Upper Gastrointestinal Bleeding

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Yoshinori Handa ◽  
Mikihiro Kano ◽  
Mayumi Kaneko ◽  
Naoki Hirabayashi
Keyword(s):  
Glomus Tumor ◽  
Submucosal Tumor ◽  
Wedge Resection ◽  
Gastric Wall ◽  
Glomus Tumors ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors ◽  
Upper Gastrointestinal ◽  
Tomography Scan ◽  
Immunohistological Analysis

A 24-year-old woman was referred to our department because of melena. These symptoms combined with severe anemia prompted us to perform an emergency upper endoscopy, which showed bleeding from an ulcerated 30 mm submucosal tumor in the gastric antrum. A computed tomography scan revealed a homogeneously enhanced mass, and endoscopic ultrasonography identified a well-demarcated mass in the third and fourth layers of the gastric wall. Because analysis of the possible medical causes remained inconclusive and the risk of rebleeding, laparoscopy-assisted gastric wedge resection was performed after administration of 10 units of red cell concentrate. Histological and immunohistological analysis revealed the tumor to be a gastric glomus tumor. Gastric submucosal tumors remain challenging to diagnose preoperatively as they show a variety of radiologic and clinicopathologic features and are associated with the risk of bleeding upon biopsy, as is indicated in the guidelines for gastric submucosal tumors. Gastric glomus tumors characteristically present with exsanguinating gastrointestinal hemorrhaging that often requires blood transfusion. Additionally, gastric submucosal tumors typically occur in elderly patients; however, this case involved a young patient who was 24 years old. Here, we describe this case in order to identify features that may aid in early differentiation of gastric submucosal tumors.

PS01.047: PROPHYLACTIC ANTI-REFLUX SURGERY AFTER LAPAROSCOPIC GASTRIC WEDGE RESECTIONS FOR GASTRIC SUBMUCOSAL TUMORS OF GASTROESOPHAGEAL JUNCTION

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 63-63
Author(s):  
Chang Hyun Kim ◽  
Jin-Jo Kim
Keyword(s):  
Conflicts Of Interest ◽  
Submucosal Tumor ◽  
Wedge Resection ◽  
Gastroesophageal Junction ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors ◽  
Increased Risk ◽  
Group A ◽  
Group B ◽  
Gerd Symptoms

Abstract Background A laparoscopic wedge resection (LWR) for a gastric submucosal tumor (SMT) close to gastroesophageal junction (GEJ) is technically challenging due to increased risk of damage to the lower esophageal sphincter. We hypothesized that GERD would be less prevalent if a prophylactic anti-reflux surgery (ARS) was added after this surgery. The aim of this study is to analyze our experience of prophylactic ARS after LWR for a gastric SMT close to GEJ Methods We retrospectively collected data from 51 patients who diagnosed with SMT of near the GEJ and who underwent LWR between January 2000 and December 2017. The patients were divided into 2 groups, the patient with prophylactic ARS (group A) or not (group B). Results There was no difference in the frequency of the preoperative GERD symptoms between the 2 groups, whereas postoperative GERD symptoms and postoperative use of acid suppressive medications were more frequent in the group B (P = 0.032, P = 0.036). However, there were no differences in the follow-up endoscopic findings in terms of reflux esophagitis and Hill's grade between the 2 groups. Conclusion The prophylactic ARS after LWR for SMT close to GEJ is an effective method of prevent gastroesophageal reflux symptoms after surgery. Disclosure All authors have declared no conflicts of interest.

Laparoscopic Wedge Resection of Gastric Submucosal Tumors

2002 ◽  
Vol 19 (3) ◽  
pp. 169-173 ◽  
Author(s):  
S. Shimizu ◽  
H. Noshiro ◽  
E. Nagai ◽  
A. Uchiyama ◽  
K. Mizumoto ◽  
...  
Keyword(s):  
Wedge Resection ◽  
Laparoscopic Wedge Resection ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors

Analysis of Clinical Features and Endoscopic Ultrasonography in the Diagnosis of Gastric Submucosal Tumors

2020 ◽  
Vol 10 (7) ◽  
pp. 1570-1574
Author(s):  
Xiangyu Liu ◽  
Xiaogang Ren ◽  
Xiaoying Ma ◽  
Xi Sun ◽  
Yue Wu ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Features ◽  
Endoscopic Ultrasonography ◽  
Submucosal Tumor ◽  
Coincidence Rate ◽  
Pathological Features ◽  
Gastric Mucosal Lesions ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors ◽  
Mucosal Lesions

To explore the clinical features and endosonographic (EUS) features of gastric submucosal tumors, the connection of submucosal tumor features and pathological features are analyzed to increase the awareness of submucosal tumors. This study is based on 237 cases of gastric mucosal lesions from March 2015 to March 2019. Endoscopic ultrasonography was performed to record the size and origin of the lesions and to make the preliminary qualitative diagnosis of the lesions, where endoscopic resections have 186 cases. According to the actual lesion resection in endoscopic ultrasonography, the origin level of SMTs and the coincidence rate of endoscopic ultrasonography diagnoses are judged. Therefore, endoscopic ultrasonography has high localization, characterization, and differential diagnosis value for gastric mucosal lesions. Diagnosis of gastric mucosal lesions under endoscopic ultrasonography is helpful for the choice of endoscopic resection surgical method.

Laparoscopic Wedge Resection of Gastric Submucosal Tumors

2000 ◽  
Vol 10 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Yoshihide Otani ◽  
Masahiro Ohgami ◽  
Naoki Igarashi ◽  
Masaru Kimata ◽  
Tetsuro Kubota ◽  
...  
Keyword(s):  
Wedge Resection ◽  
Laparoscopic Wedge Resection ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors

scholarly journals Preliminary analysis of hybrid laparoscopic procedure for resection of gastric submucosal tumors

2016 ◽  
Vol 43 (2) ◽  
pp. 129-135 ◽  
Author(s):  
PEDRO HENRIQUE LAMBACH CARON ◽  
MARIANA ISMAEL DIAS MARTINS ◽  
PEDRO LUIZ BERTEVELLO
Keyword(s):  
Laparoscopic Resection ◽  
Average Length ◽  
Submucosal Tumor ◽  
Intraoperative Complications ◽  
Clinicopathological Characteristics ◽  
Conversion To Open Surgery ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors ◽  
Average Size

ABSTRACT Objective: to evaluate the feasibility, safety and benefits of minimally invasive surgery for resection of gastric submucosal tumor (GSMT). Methods: we conducted a retrospective study of medical records of patients undergoing endoscopy-assisted laparoscopic resection of gastric submucosal tumors (prospectively collected) from 2011 to 2014. We evaluated clinical data, surgical approach, clinicopathological characteristics of the GSMT (size, location, histopathological and immunohistochemical exams), outcome and patients follow-up. Results: we evaluated six patients, 50% male, mean age 52±18 years and common symptoms of heartburn and gastric fullness. All patients underwent hybrid procedure without anatomical impairment of the organ. The average length of stay was 3.5 days and the average size of the tumors was 2.0±0.8cm, five of them (83%) in the proximal third of the stomach. The surgical specimens pathological and immunohistochemistry examination revealed one case of ectopic pancreas (17%), one grade 2 neuroendocrine tumor (17%), one lipoma (17%), one GIST (17%) and two leiomyomas (32%). There were no episodes of tumor rupture or intraoperative complications and no conversion to open surgery. During the postoperative follow-up period, none of the patients had recurrence, metastasis, fistula or stenosis. Conclusion: the results showed that endoscopy-assisted laparoscopic resection is feasible and safe for patients with GSMT. Endoscopy proved to be essential in the location of lesions and as intraoperative support, especially when attempting to preserve the pylorus and cardia during surgery.

Laparoscopic Enucleation or Wedge Resection of Benign Gastric Pathology: Analysis of 44 Consecutive Cases

2011 ◽  
Vol 77 (10) ◽  
pp. 1390-1394 ◽  
Author(s):  
Ninh T. Nguyen ◽  
Caitlin Shapiro ◽  
Hossein Massomi ◽  
Kelly Laugenour ◽  
Christian Elliott ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Wedge Resection ◽  
Gastroesophageal Junction ◽  
Outlet Obstruction ◽  
Surgical Approaches ◽  
Submucosal Tumors ◽  
Gastric Tumors ◽  
Gastric Submucosal Tumors ◽  
Thoracoscopic Enucleation ◽  
Laparoscopic Enucleation

Laparoscopic resection of gastric submucosal tumors has been described, but the role of laparoscopy for tumors within the esophagus or near the gastroesophageal junction is not clearly defined. The aim of this study was to examine the outcomes of laparoscopic or thoracoscopic enucleation or wedge resection of benign gastric tumors. The charts of 44 patients who underwent minimally invasive resection of benign esophagogastric tumors were reviewed. Surgical approaches included thoracoscopic enucleation (n = 2), laparoscopic enucleation (n = 6), transgastric enucleation (n = 2), and laparoscopic gastric wedge resection (n = 34). There were 23 males with a mean age of 57 years. There was one conversion (2.5%) to laparotomy. Mean operative time was 97 ± 52 minutes. The mean length of hospital stay was 2.6 ± 2.0 days. One patient developed gastric outlet obstruction requiring Roux-en-Y reconstruction. There were no leaks and the 90-day mortality was zero. Pathology demonstrated gastrointestinal stromal tumor (n = 31), leiomyoma (n = 6), and other benign pathology (n = 7). There has been one tumor recurrence at a mean follow-up of 4.3 years. The laparoscopic approaches to local resection of gastric tumors are safe and feasible. The type of minimally invasive surgical approaches should be tailored based on the location and size of the lesion.

scholarly journals ‘Away from home’ extra hepatic hepatocellular adenocarcinoma in gastric fundal submucosa

2021 ◽  
Vol 8 (9) ◽  
pp. 2783
Author(s):  
Mohd Helmi Mohd Samathani ◽  
Azuddin Bin Mohd Khairy
Keyword(s):  
Gastrointestinal Bleeding ◽  
Liver Tissue ◽  
Upper Gastrointestinal Bleeding ◽  
Wedge Resection ◽  
Gastric Wall ◽  
Liver Pathology ◽  
Hepatoid Adenocarcinoma ◽  
Postoperative Diagnosis ◽  
Ectopic Liver ◽  
Upper Gastrointestinal

Patient presented with upper gastrointestinal bleeding which was scoped and diagnosed as bleeding gastrointestinal tumour intra procedure, subjected to laparotomy and wedge resection with unchanged postoperative diagnosis. Only later to find out the tissue was interpreted as metastases hepatoid adenocarcinoma without primary liver pathology. Thus likely point towards malignancy changes of undiagnosed ectopic liver tissue on gastric wall.

scholarly journals Efficacy of Mucosal Cutting Biopsy for the Histopathological Diagnosis of Gastric Submucosal Tumors

2019 ◽  
Vol 13 (1) ◽  
pp. 185-194 ◽  
Author(s):  
Akihisa Adachi ◽  
Yoshikazu Hirata ◽  
Hayato Kawamura ◽  
Takahito Harada ◽  
Reika Hattori ◽  
...  
Keyword(s):  
Submucosal Tumor ◽  
Needle Aspiration ◽  
Histological Diagnosis ◽  
Histopathological Diagnosis ◽  
Efficacy And Safety ◽  
Ultrasound Guided ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors ◽  
Diagnosis Rate ◽  
The Mean

Background: Gastrointestinal stromal tumors occur frequently. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is performed commonly for diagnosis. However, the success rate of histological diagnosis is insufficient when the submucosal tumor (SMT) is small. Recently, another technique, mucosal cutting biopsy (MCB) has been reported. The aim of this study is to evaluate the efficacy and safety of MCB. Method: Between January 2012 and August 2018, MCB and EUS-FNA were performed 16 and 31 times for diagnosing gastric SMT. The diagnostic rate, the rate of successful immunohistochemistry, and the safety were reviewed. Difficult locations for EUS-FNA were also evaluated. Results: The mean SMT sizes measured on MCB and EUS-FNA were 21.2 and 36.2 mm. The diagnostic rates of MCB and EUS-FNA were almost the same (88 vs. 81%), but successful immunohistochemistry was significantly higher in the MCB group (93 vs. 59%, p = 0.03). In the subgroup of SMTs < 20 mm, the successful histological diagnosis rate from EUS-FNA was relatively low. There were no complications. Failures of EUS-FNA were more frequent in the middle third of the stomach. Conclusions: MCB was an effective procedure for diagnosing gastric SMT, especially in the case of small SMTs located at the middle third of the stomach.

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