A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management
A gastrointestinal stromal tumor (GIST) arising in the duodenum is a rare subtype of mesenchymal tumor. GISTs have a reported incidence of 11.9–19.6 per million population and duodenal GISTs make up just 5% of these tumors. Common presentation of duodenal GISTs is through an upper gastrointestinal b...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Acute Care Surgery
2021-11-01
|
| Series: | Journal of Acute Care Surgery |
| Subjects: | |
| Online Access: | http://www.jacs.or.kr/upload/pdf/jacs-2021-11-3-129.pdf |
| _version_ | 1797682017565933568 |
|---|---|
| author | Yagan Pillay Oladapo Mabadeje |
| author_facet | Yagan Pillay Oladapo Mabadeje |
| author_sort | Yagan Pillay |
| collection | DOAJ |
| description | A gastrointestinal stromal tumor (GIST) arising in the duodenum is a rare subtype of mesenchymal tumor. GISTs have a reported incidence of 11.9–19.6 per million population and duodenal GISTs make up just 5% of these tumors. Common presentation of duodenal GISTs is through an upper gastrointestinal bleed, of which, they are responsible for less than 1% of all gastrointestinal bleeding. In an elective setting, surgical management remains the mainstay of treatment. In this Case Report, the emergent management of a localized duodenal resection was performed by an acute care surgeon, in an unstable patient. The risk factors for malignancy include tumor size and a high mitotic cell index. Tumor recurrence is determined by tumor size, tumor rupture, high mitotic cell index, a non-gastric location and gastrointestinal bleeding. |
| first_indexed | 2024-03-11T23:53:25Z |
| format | Article |
| id | doaj.art-b0d32b042f474249897db8454f210d65 |
| institution | Directory Open Access Journal |
| issn | 2288-5862 2288-9582 |
| language | English |
| last_indexed | 2024-03-11T23:53:25Z |
| publishDate | 2021-11-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj.art-b0d32b042f474249897db8454f210d652023-09-18T23:59:40ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822021-11-0111312913210.17479/jacs.2021.11.3.129229A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent ManagementYagan Pillay0Oladapo Mabadeje1Department of General Surgery, University of Saskatchewan, Saskatchewan, CanadaDepartment of General Surgery, University of Saskatchewan, Saskatchewan, CanadaA gastrointestinal stromal tumor (GIST) arising in the duodenum is a rare subtype of mesenchymal tumor. GISTs have a reported incidence of 11.9–19.6 per million population and duodenal GISTs make up just 5% of these tumors. Common presentation of duodenal GISTs is through an upper gastrointestinal bleed, of which, they are responsible for less than 1% of all gastrointestinal bleeding. In an elective setting, surgical management remains the mainstay of treatment. In this Case Report, the emergent management of a localized duodenal resection was performed by an acute care surgeon, in an unstable patient. The risk factors for malignancy include tumor size and a high mitotic cell index. Tumor recurrence is determined by tumor size, tumor rupture, high mitotic cell index, a non-gastric location and gastrointestinal bleeding.http://www.jacs.or.kr/upload/pdf/jacs-2021-11-3-129.pdfbleedingduodenumgastrointestinal stromalgastrointestinal neoplasmstumors |
| spellingShingle | Yagan Pillay Oladapo Mabadeje A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management Journal of Acute Care Surgery bleeding duodenum gastrointestinal stromal gastrointestinal neoplasms tumors |
| title | A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management |
| title_full | A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management |
| title_fullStr | A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management |
| title_full_unstemmed | A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management |
| title_short | A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management |
| title_sort | case report of a bleeding duodenal gastro intestinal stromal tumor and its emergent management |
| topic | bleeding duodenum gastrointestinal stromal gastrointestinal neoplasms tumors |
| url | http://www.jacs.or.kr/upload/pdf/jacs-2021-11-3-129.pdf |
| work_keys_str_mv | AT yaganpillay acasereportofableedingduodenalgastrointestinalstromaltumoranditsemergentmanagement AT oladapomabadeje acasereportofableedingduodenalgastrointestinalstromaltumoranditsemergentmanagement AT yaganpillay casereportofableedingduodenalgastrointestinalstromaltumoranditsemergentmanagement AT oladapomabadeje casereportofableedingduodenalgastrointestinalstromaltumoranditsemergentmanagement |