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内镜超声引导下高风险壶腹周围胃肠道间质瘤的局部切除及壶腹保留术

Endoscopic Ultrasound in Guiding Local Resection and Ampullary Preservation of a High-Risk Periampullary GIST.

作者信息

Spiel Andrew, Patel Ravi, Minter Rebecca, Rahnemai Azar Amir Ali, Agni Rashmi, Bosch Antonio, Gopal Deepak

机构信息

Division of Gastroenterology & Hepatology, Department of Medicine, Univeristy of WIsconsin School of Medicine and Public Health, Madison, WI, USA.

Division of Surgical Oncology, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

出版信息

Case Rep Gastrointest Med. 2020 Jan 30;2020:8418905. doi: 10.1155/2020/8418905. eCollection 2020.

DOI:10.1155/2020/8418905
PMID:32082652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7013300/
Abstract

Gastrointestinal stromal tumors (GISTs) typically develop in the stomach or small intestine and rarely involve the ampulla of Vater, with only 13 cases reported in the world literature since 2004. Most authors advocate performing pancreaticoduodenectomy for such lesions. However, this operation can carry higher rates of morbidity and mortality compared to local resection. We present a case of a high-risk, invasive periampullary GIST and the multidisciplinary management approach to local resection with the aid of endoscopic ultrasound. In addition, this case shows no local recurrence at 3 months and a favorable clinical outcome at 1 year.

摘要

胃肠道间质瘤（GISTs）通常发生于胃或小肠，很少累及Vater壶腹，自2004年以来世界文献中仅报道了13例。大多数作者主张对这类病变行胰十二指肠切除术。然而，与局部切除术相比，该手术的发病率和死亡率可能更高。我们报告一例高危、浸润性壶腹周围GIST病例以及在内镜超声辅助下行局部切除术的多学科管理方法。此外，该病例在3个月时无局部复发，1年时临床结果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/a32c1939bc02/CRIGM2020-8418905.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/536791773a6e/CRIGM2020-8418905.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/f5ceeeacce95/CRIGM2020-8418905.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/c9518df5397a/CRIGM2020-8418905.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/545fbf78e13b/CRIGM2020-8418905.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/a32c1939bc02/CRIGM2020-8418905.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/536791773a6e/CRIGM2020-8418905.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/f5ceeeacce95/CRIGM2020-8418905.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/c9518df5397a/CRIGM2020-8418905.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/545fbf78e13b/CRIGM2020-8418905.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d0f/7013300/a32c1939bc02/CRIGM2020-8418905.005.jpg

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本文引用的文献

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Duodenal gastrointestinal stromal tumors appear similar to pancreatic neuroendocrine tumors: A case report.十二指肠胃肠道间质瘤表现类似胰腺神经内分泌肿瘤：一例报告。
Int J Surg Case Rep. 2018;53:358-361. doi: 10.1016/j.ijscr.2018.11.011. Epub 2018 Nov 15.
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The role of endoscopy in subepithelial lesions of the GI tract.内镜检查在胃肠道上皮下病变中的作用。
Gastrointest Endosc. 2017 Jun;85(6):1117-1132. doi: 10.1016/j.gie.2017.02.022. Epub 2017 Apr 3.
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A Novel Approach: Local Resection for Ampullary GIST-Case Report and Review of Literature.
一种新方法：壶腹胃肠道间质瘤的局部切除术——病例报告及文献综述
J Gastrointest Cancer. 2017 Dec;48(4):376-378. doi: 10.1007/s12029-016-9839-z.
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Management of ampullary neoplasms: A tailored approach between endoscopy and surgery.壶腹肿瘤的管理：内镜检查与手术之间的定制方法。
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Outcome after surgical treatment of suspected gastrointestinal stromal tumors involving the duodenum: is limited resection appropriate?涉及十二指肠的疑似胃肠道间质瘤手术治疗后的结果：有限切除是否合适？
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Yield of tissue sampling for subepithelial lesions evaluated by EUS: a comparison between forceps biopsies and endoscopic submucosal resection.超声内镜评估上皮下病变的组织采样率：钳取活检与内镜黏膜下切除术的比较
Gastrointest Endosc. 2006 Jul;64(1):29-34. doi: 10.1016/j.gie.2006.02.027.
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