Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Oct 3;2020(10):rjaa301.
doi: 10.1093/jscr/rjaa301. eCollection 2020 Oct.

Robot-assisted resection of GIST in the proximal jejunum

Myeong Hun Oh  1 , Byoung Chul Lee  1
Affiliations
Case Reports

Robot-assisted resection of GIST in the proximal jejunum

Myeong Hun Oh et al. J Surg Case Rep. .

Abstract

Gastrointestinal stromal tumors (GISTs) are rare. Although most commonly found in the stomach, GISTs in the jejunum are among the rarest subtypes. A 46-year-old woman presented to the surgical department with proximal jejunal mass found in the examinations after abdominal pain and melena. Computed tomography imaging showed a 2.3 cm sized well-defined heterogenous enhancing mass in the proximal jejunum, and GIST was strongly suspected. The jejunal mass was identified 5 cm below the ligament of Treitz intraoperatively. She underwent robotic-assisted jejunal resection with intracorporeal robot-sewn anastomosis. The patient's postoperative course was uneventful, and she was discharged on the seventh postoperative day. A robotic approach for GIST in the proximal jejunum is a safe and feasible procedure with good surgical outcomes.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Abdomen CT showed a 2.3 cm sized well-defined heterogenous enhancing mass in the proximal jejunum and GIST was strongly suspected.
Figure 2
Figure 2
Trocars position with da Vinci Xi system.
Figure 3
Figure 3
GIST in the jejunum as exophytic lesion.
Figure 4
Figure 4
Robotic jejunal resection and anastomosis: identification (A), distal transaction (B), proximal transaction (C) and after anastomosis (D).
See this image and copyright information in PMC

References

    1. Sankey RE, Maatouk M, Mahmood A, Raja M. Case report: Jejunal gastrointestinal stromal tumour, a rare tumour, with a challenging diagnosis and a successful treatment. J Surg Case Rep 2015;2015:rjv050. - PMC - PubMed
    1. Zwan SM, DeMatteo RP. Gastrointestinal stromal tumor: 5 years later. Cancer 2005;104:1781–8. - PubMed
    1. Marcella C, Shi RH, Sarwar S. Clinical overview of GIST and its latest management by endoscopic resection in upper GI: a literature review. Gastroenterol Res Pract 2018;2018:6864256. - PMC - PubMed
    1. Miettinen M, Makhlouf H, Sobin LH, Lasota J. Gastrointestinal stromal tumors of the jejunum and ileum: a clinicopathologic, immunohistochemical, and molecular genetic study of 906 cases before imatinib with long-term follow-up. Am J Surg Pathol 2006;30:477–89. - PubMed
    1. Lai EC, Lau SH, Lau WY. Current management of gastrointestinal stromal tumors--a comprehensive review. Int J Surg 2012;10:334–40. - PubMed

Publication types