Abstract

Surgical management of malignant gastric gist with organ sparing surgery

Highlights

  • Gastrointestinal stromal tumours (GISTs) is a rare tumour of alimentary canal (0.1-3%) arising from the interstitial cells of Cajal

  • We present a case of lesser curvature GIST for which a greater curvature sparing gastrectomy is done

  • Greater curvature preserving gastrectomy for GIST is rare in literature

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Summary

Methods

A midline laparotomy followed by creation of a sleeve of the greater curvature was done. The cardio-oesophageal junction was divided and the tumour along with stomach adjacent to the lesser curvature resected using gastro-intestinal anastomotic linear staplers. Once vascularity of remnant stomach was confirmed, the greater curvature remnant was anastomosed to the oesophagus, restoring anatomic continuity

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