Lee Seokyoun, Kwon Jungnam, Lee Junhee
Department of Surgery, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea.
Department of Emergency Medicine, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea.
SAGE Open Med Case Rep. 2020 Jul 2;8:2050313X20934688. doi: 10.1177/2050313X20934688. eCollection 2020.
Gastrointestinal stromal tumors are the most common subepithelial tumors of the gastrointestinal tract. Gastrointestinal stromal tumors are commonly detected in the stomach followed by the small intestine. Surgery for gastrointestinal stromal tumors affecting the duodenojejunal junction is technically challenging because of the anatomical complexity of this area. A 56-year-old woman visited the outpatient clinic with the chief complaint of melena associated with dizziness from 5 days ago. Abdominal computed tomography revealed an enhancing small bowel mass measuring 4 cm × 5 cm in the left upper abdomen abutting the duodenojejunal junction. She underwent successful laparoscopic small bowel segmental resection of the duodenojejunal junction area. Laparoscopic segmental resection with side-to-side duodenojejunostomy for a gastrointestinal stromal tumor at the duodenojejunal junction is an advanced and challenging procedure requiring experience and a good surgical technique.
胃肠道间质瘤是胃肠道最常见的上皮下肿瘤。胃肠道间质瘤常见于胃，其次是小肠。由于十二指肠空肠交界处解剖结构复杂，对该部位的胃肠道间质瘤进行手术在技术上具有挑战性。一名56岁女性因5天前出现伴有头晕的黑便为主诉前来门诊就诊。腹部计算机断层扫描显示左上腹有一个4厘米×5厘米的强化小肠肿块，毗邻十二指肠空肠交界处。她成功接受了十二指肠空肠交界区的腹腔镜小肠节段切除术。对十二指肠空肠交界处胃肠道间质瘤进行腹腔镜节段切除并侧侧吻合十二指肠空肠造口术是一种先进且具有挑战性的手术，需要经验和良好的手术技巧。
