Tornambe Antonino, Tornambe Giuseppe
Ann Ital Chir. 2017 Jul 25;6:S2239253X17027220.
To report an another case of duodenal GIST in patient that was treated with Whipple procedure.
We report a case of 69 years old men that was admitted with melena. The preoperative investigations suggested a suspected duodenal GIST.A Whipple pancreatico-duodenectomy was performed. Only 3-5% of GISTs occur in the duodenum.
GIST were described as a separate entity by Mazur and Clark in 1983. These tumors are the most common among mesenchymal tumors of the gastrointeninal tract. The clinical presentations of duodenal GIST are highly variable. There is no consensus on the optimal surgical treatment of duodenal GIST.The aim was to achieve a R0-type surgery with complete en bloc surgical resection of the tumor and the surrounding tissue CONCLUSION: In conclusion the duodenal GIST are fairly rare. The clinical symptomatology is very variable even if frequently occur with digestive bleeding. the purpose of the surgery is the complete removal of the tumor (R0) however looking to perform minimum resections.
GI bleeding, GIST, Pancreaticoduodenectomy.
报告另一例接受惠普尔手术治疗的十二指肠胃肠道间质瘤患者。
我们报告一例69岁男性因黑便入院。术前检查提示疑似十二指肠胃肠道间质瘤。实施了惠普尔胰十二指肠切除术。仅3% - 5%的胃肠道间质瘤发生于十二指肠。
1983年马祖尔和克拉克将胃肠道间质瘤描述为一个独立的实体。这些肿瘤是胃肠道间叶组织肿瘤中最常见的。十二指肠胃肠道间质瘤的临床表现高度多变。对于十二指肠胃肠道间质瘤的最佳手术治疗尚无共识。目标是通过整块完整切除肿瘤及其周围组织实现R0型手术。结论：总之，十二指肠胃肠道间质瘤相当罕见。即使常伴有消化道出血，其临床症状也非常多变。手术目的是完全切除肿瘤（R0），但要尽量进行最小范围的切除。
胃肠道出血、胃肠道间质瘤、胰十二指肠切除术
