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

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

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 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 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.

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