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01-07-2008 | How to do it

Simple segmental resection of the second portion of the duodenum for the treatment of gastrointestinal stromal tumors

Authors: Masami Asakawa, Yoshihiro Sakamoto, Takahiro Kajiwara, Satoshi Nara, Minoru Esaki, Kazuaki Shimada, Tetsuya Hamaguchi, Tomoo Kosuge

Published in: Langenbeck's Archives of Surgery | Issue 4/2008

Abstract

Background

Adequate surgical procedure for gastrointestinal stromal tumors (GISTs) arising in the second portion of the duodenum remains controversial.

Materials and methods

Segmental resection of the second portion of the duodenum and Roux-en-Y reconstruction was performed in two patients with duodenal GISTs. In case 1, a huge tumor arising from the second portion of the duodenum occupied the right upper quadrant of the abdomen. Preoperative treatment using imatinib mesylate decreased the tumor size from 22 to 8 cm. In case 2, the tumor was located in the second portion of the duodenum longitudinally. In both of the cases, the major papilla was preserved.

Results

The postoperative course was uneventful, and they were discharged on day 11. Surgical margins were negative.

Conclusion

The present simple segmental duodenectomy can be applied in the treatment of GISTs or other low-grade malignancies.

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Title: Simple segmental resection of the second portion of the duodenum for the treatment of gastrointestinal stromal tumors
Authors: Masami Asakawa
Yoshihiro Sakamoto
Takahiro Kajiwara
Satoshi Nara
Minoru Esaki
Kazuaki Shimada
Tetsuya Hamaguchi
Tomoo Kosuge
Publication date: 01-07-2008
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 4/2008
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-007-0243-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Simple segmental resection of the second portion of the duodenum for the treatment of gastrointestinal stromal tumors

Abstract

Background

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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