Orhan Agcaoglu, MD1, Derya S Uymaz, MD1, Onur Bayram, MD1, Cagri Bilgic, MD1, Gorkem K Ozgen, MD2, Yunus Yavuz, MD1. 1Koc University, School of Medicine, Department of General Surgery, 2VM Medical Park Hospital, Bahcesehir
Background: Gastrointestinal stromal tumors can be found incidentally during laparoscopic sleeve gastrectomy operations. Depending on localization, there might be a need for alterations in the technique.
Case Series: A total of three incidental tumors were identified during bariatric procedures. Patients were 53, 55 and 60 year-old males. Routine preoperative upper gastrointestinal system endoscopy did not reveal any tumors. In two of the cases, the tumors were located in the corpus close to the greater curvature of the stomach lateral to the staple line. However, in one patient, an exophitic tumor was located on the posterior aspect of the cardia which was supposed to remain. After the sleeve gastrectomy procedure, an additional wedge resection for the lesion was carried out. The serosa was closed with separate absorbable sutures. The staple line for the sleeve gastrectomy was imbricated with a continuous self-locking suture and both staple lines were sprayed with fibrin glue. All patients were discharged uneventfully on the second postoperative day. Pathologic diagnosis was gastrointestinal system tumor with low risk in all cases and there was no need for further treatment.
Conclusion: Benign or premalign lesions should be carefully sought in all patients during bariatric procedures. These lesions can be treated safely, however the surgical team should be ready for additional resections.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80074
Program Number: P498
Presentation Session: Poster (Non CME)
Presentation Type: Poster