Jessica L Reynolds, MD, Ran B Liu, MD, Shanglei Liu, MD, Jonathan C DeLong, MD, Toshiaki Suzuki, MD, Domingo Montalvo, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University of California San Diego
Introduction: GIST tumors near the gastroesophageal junction (GEJ) can be difficult to remove with traditional laparoscopic techniques. There is a risk of damage to the GEJ and leak. Here we report a transgastric laparoscopic endoscopic combined surgery (LECS) staple technique for removal of these tumors.
Methods: The endoscope was used to visualize the mass and guide intragastric port placement. The mass was then resected using a transgastric endoscopic stapler without damaging or narrowing the gastroesophageal junction. The smaller gastrostomy was closed with suture while the larger gastrostomy was resected with an endoscopic stapler.
Results: The entire mass was able to be resected without damage to the esophagus or gastroesophageal junction. The patient was able to take PO on POD #2 and discharged on POD#3. Final pathology showed all margins to be negative for tumor.
Conclusion: Transgastric resection is a safe and useful tool for GIST near the GEJ.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80699
Program Number: V010
Presentation Session: Gastric
Presentation Type: Video