Laparoscopic-Assisted Endoscopic Resection of a Gastric Leiomyoma
Abstract Leiomyomas are infrequent benign intestinal tumors that can arise at any age and location within the gastrointestinal (GI) tract. These tumors can cause symptoms including abdominal pain, obstruction, intussusception, volvulus, GI bleeding, or a mass and should be resected if symptomatic. O...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2014-03-01
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| Series: | European Journal of Pediatric Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1370773 |
| _version_ | 1819176039238074368 |
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| author | Shannon Acker Megan Dishop Gregory Kobak Padade Vue Stig Somme |
| author_facet | Shannon Acker Megan Dishop Gregory Kobak Padade Vue Stig Somme |
| author_sort | Shannon Acker |
| collection | DOAJ |
| description | Abstract
Leiomyomas are infrequent benign intestinal tumors that can arise at any age and location within the gastrointestinal (GI) tract. These tumors can cause symptoms including abdominal pain, obstruction, intussusception, volvulus, GI bleeding, or a mass and should be resected if symptomatic. Open surgical resection is considered the standard for removing these tumors. However, recent improvements in endoscopic and laparoscopic equipment have made it possible to utilize minimally invasive techniques of tumor removal including complete endoscopic resection or endoscopic-assisted laparoscopic resection. We present the case of an adolescent female with a large mass located at the gastroesophageal junction (GEJ) causing GI bleeding. Given the location of the mass near the GEJ and the morbidity associated with surgical resection, we performed laparoscopic-assisted complete endoscopic resection of tumor. In addition, this tumor had an unusual immunohistochemical-staining pattern, with focal expression of markers more often seen in GI stromal tumors, elucidating a gray area between these two tumor classes with potential implications for patient follow-up. Laparoscopic-assisted endoscopic resection of benign tumors is a useful technique that can be employed to facilitate resection of mucosal and subserosal masses near the GEJ with minimal morbidity. |
| first_indexed | 2024-12-22T21:04:25Z |
| format | Article |
| id | doaj.art-c058f2a12745464b8fd13169b723f207 |
| institution | Directory Open Access Journal |
| issn | 2194-7619 2194-7627 |
| language | English |
| last_indexed | 2024-12-22T21:04:25Z |
| publishDate | 2014-03-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj.art-c058f2a12745464b8fd13169b723f2072022-12-21T18:12:42ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272014-03-01020100300610.1055/s-0034-1370773Laparoscopic-Assisted Endoscopic Resection of a Gastric LeiomyomaShannon Acker0Megan Dishop1Gregory Kobak2Padade Vue3Stig Somme4Department of General Surgery, University of Colorado, Aurora, Colorado, United StatesDepartment of Pediatric Pathology, University of Colorado, Aurora, Colorado, United StatesDepartment of Pediatric Gastroenterology, University of Colorado, Aurora, Colorado, United StatesDepartment of Pediatric Gastroenterology, University of Colorado, Aurora, Colorado, United StatesDepartment of Pediatric Surgery, University of Colorado, Aurora, Colorado, United StatesAbstract Leiomyomas are infrequent benign intestinal tumors that can arise at any age and location within the gastrointestinal (GI) tract. These tumors can cause symptoms including abdominal pain, obstruction, intussusception, volvulus, GI bleeding, or a mass and should be resected if symptomatic. Open surgical resection is considered the standard for removing these tumors. However, recent improvements in endoscopic and laparoscopic equipment have made it possible to utilize minimally invasive techniques of tumor removal including complete endoscopic resection or endoscopic-assisted laparoscopic resection. We present the case of an adolescent female with a large mass located at the gastroesophageal junction (GEJ) causing GI bleeding. Given the location of the mass near the GEJ and the morbidity associated with surgical resection, we performed laparoscopic-assisted complete endoscopic resection of tumor. In addition, this tumor had an unusual immunohistochemical-staining pattern, with focal expression of markers more often seen in GI stromal tumors, elucidating a gray area between these two tumor classes with potential implications for patient follow-up. Laparoscopic-assisted endoscopic resection of benign tumors is a useful technique that can be employed to facilitate resection of mucosal and subserosal masses near the GEJ with minimal morbidity.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1370773gastric leiomyomacd117endoscopydog1 |
| spellingShingle | Shannon Acker Megan Dishop Gregory Kobak Padade Vue Stig Somme Laparoscopic-Assisted Endoscopic Resection of a Gastric Leiomyoma European Journal of Pediatric Surgery Reports gastric leiomyoma cd117 endoscopy dog1 |
| title | Laparoscopic-Assisted Endoscopic Resection of a Gastric Leiomyoma |
| title_full | Laparoscopic-Assisted Endoscopic Resection of a Gastric Leiomyoma |
| title_fullStr | Laparoscopic-Assisted Endoscopic Resection of a Gastric Leiomyoma |
| title_full_unstemmed | Laparoscopic-Assisted Endoscopic Resection of a Gastric Leiomyoma |
| title_short | Laparoscopic-Assisted Endoscopic Resection of a Gastric Leiomyoma |
| title_sort | laparoscopic assisted endoscopic resection of a gastric leiomyoma |
| topic | gastric leiomyoma cd117 endoscopy dog1 |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1370773 |
| work_keys_str_mv | AT shannonacker laparoscopicassistedendoscopicresectionofagastricleiomyoma AT megandishop laparoscopicassistedendoscopicresectionofagastricleiomyoma AT gregorykobak laparoscopicassistedendoscopicresectionofagastricleiomyoma AT padadevue laparoscopicassistedendoscopicresectionofagastricleiomyoma AT stigsomme laparoscopicassistedendoscopicresectionofagastricleiomyoma |