Endoscopic full-thickness resection of esophagogastric junction gastrointestinal stromal tumor assisted by laparoscopy after neoadjuvant therapy

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dc.contributor.authorNavarrete, Andrés
dc.contributor.authorMomblan, Dulce
dc.contributor.authorFernández, Gloria
dc.contributor.authorDelgado, Salvadora
dc.contributor.authorJiménez, Marta
dc.contributor.authorHessheimer, Amelia
dc.contributor.authorLacy, Antonio
dc.date.accessioned2017-01-06T14:13:33Z
dc.date.available2017-01-06T14:13:33Z
dc.date.issued2016
dc.description.abstractGastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the digestive tract [1]. Surgery is the only potentially curative therapy. However, some tumors are locally advanced, and therefore R0 resection cannot be guaranteed. In this situation, imatinib can allow organ-preserving surgery and optimal oncological outcome GISTs located at the esophagogastric junction (EGJ) are challenging because wedge resection is difficult to achieve, and gastrectomy and/or esophagectomy are associated with morbidity and mortality. Consequently, endoscopic resection could be an ideal alternative to surgery, with comparable oncological outcomes. We present the case of an 82-year-old woman with a 1-month history of progressive dysphagia. An upper endoscopy showed a 6-cm pedunculated polypoid lesion at the EGJ, with a short and wide pedicle that protruded into the gastric fundus. The biopsy demonstrated a high-risk GIST with 20 mitoses per 50 high-power fields (HPF). Abdominal double-contrast radiography and computed tomography (CT) scan ruled out metastasis. It was decided to treat the tumor with imatinib to decrease its size. A 6-month course of therapy was started.
dc.identifier.citationEndoscopy, 2016, vol.48,sup.1, p.E112-E114
dc.identifier.urihttp://hdl.handle.net/11447/938
dc.identifier.urihttp://dx.doi.org/ 10.1055/s-0042-104191
dc.language.isoen_US
dc.publisherGeorg Thieme Verlag KG Stuttgart · New York
dc.subjectEsophagogastric junction
dc.subjectPathology
dc.subjectSurgery
dc.subjectGastrointestinal stromal tumors
dc.subjectLaparoscopy
dc.titleEndoscopic full-thickness resection of esophagogastric junction gastrointestinal stromal tumor assisted by laparoscopy after neoadjuvant therapy
dc.typeArtículo

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