Optimal management of GIST tumors located near the gastroesophageal junction: Case report and review of the literature.

INTRODUCTION

The safety and oncologic outcome of laparoscopic gastric GIST resection is well established especially for lesions <5cm in diameter. The optimal management of GIST tumors near the GE junction remains unclear.

METHODS

We present a case-report of a 4.7cm GIST tumor near the GE junction managed by endoscopically-assisted laparoscopic wedge resection (EAWR). We present a review of the literature highlighting the various combined laparo-endoscopic techniques available.

RESULTS

We used the non-touch lesion-lifting method to laparoscopically resect the GIST tumor under endoscopic guidance. There were no complications and the patient was discharged on postoperative day 3.

CONCLUSIONS

Endoscopically-assisted laparoscopic wedge resections are feasible and safe for GIST tumors near the GE junction.