Laparoscopic Gastric Wedge Resection and Prophylactic Antireflux Surgery for a Submucosal Tumor of Gastroesophageal Junction
Journal of Gastric Cancer
; : 131-134, 2011.
Article
em En
| WPRIM
| ID: wpr-211527
Biblioteca responsável:
WPRO
ABSTRACT
A laparoscopic wedge resection for a submucosal tumor, which is close to the gastroesophageal junction, is technically challenging. This can be a dilemma to both patients and surgeons when the tumor margin involves the gastroesophageal junction because a wedge resection in this situation might result in a deformity of the gastroesophageal junction or an injury to the lower esophageal sphincter, which ultimately results in lifelong gastroesophageal reflux disease. The patient was a 42 year-old male, whose preoperative endoscopic ultrasonographic finding did not rule out a gastrointestinal stromal tumor. He underwent a laparoscopic gastric wedge resection and prophylactic anterior partial fundoplication (Dor) and was discharged from hospital on the fifth postoperative day without any complications. There were no symptoms of reflux 5 months after surgery. A laparoscopic wedge resection and prophylactic anti-reflux surgery might be a good surgical option for a submucosal tumor at the gastroesophageal junction.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Anormalidades Congênitas
/
Refluxo Gastroesofágico
/
Fundoplicatura
/
Esfíncter Esofágico Inferior
/
Tumores do Estroma Gastrointestinal
/
Junção Esofagogástrica
Limite:
Humans
/
Male
Idioma:
En
Revista:
Journal of Gastric Cancer
Ano de publicação:
2011
Tipo de documento:
Article