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Gastric schwannoma with post-surgical gastroparesis: a case report and literature review.

作者信息

Miao Ganggang, Zhang De, Li Jiajing, Deng Yanxiang, Gu Xingwei, Feng Tingting

机构信息

Department of General Surgery, The People's Hospital of Danyang, Affiliated Danyang Hospital of Nantong University, Danyang, Jiangsu, China.

Department of General Surgery, The Affiliated Nanjing Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.

出版信息

Front Oncol. 2025 Jan 13;14:1496074. doi: 10.3389/fonc.2024.1496074. eCollection 2024.


DOI:10.3389/fonc.2024.1496074
PMID:39871940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11769998/
Abstract

Gastric schwannoma is a relatively rare submucosal mesenchymal tumor with low probability of metastasis and arises from Schwann cells of the gastrointestinal nervous plexus. Surgical therapy is the main treatment of gastric schwannoma with symptoms or malignant tendency. Gastroparesis is a potential complication following gastrointestinal surgery, which is a clinical syndrome caused by gastric emptying disorder and characterized by nausea, vomiting, and bloating, resulting in insufficient nutrient intake. Generally, post-surgical etiology is the main potential etiology of gastroparesis, while the most common underlying etiology is diabetes mellitus. So far, reports of gastroparesis arising from resection of gastric schwannoma are rare. We present an 80-year-old woman who was diagnosed with gastrointestinal stromal tumor (GIST) primarily and has undergone laparoscopic wedge-shaped gastrectomy. The pathological and immunohistochemical examination ultimately established the diagnosis of gastric schwannoma. The patient experienced belching, nausea, vomiting, and bloating 1 week after the surgery and confirmed as gastroparesis through gastrointestinal series and gastroscopic examination. A series of treatments were performed, including correcting fluid-electrolyte disorders and vitamin deficiencies, and nutritional support and pharmacological treatments. The patient ultimately recovered well, and the relevant literatures were reviewed to identify and handle similar cases hereafter.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b3/11769998/e2d49877af54/fonc-14-1496074-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b3/11769998/5fa505f5c94d/fonc-14-1496074-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b3/11769998/05dc0a3b0632/fonc-14-1496074-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b3/11769998/554224f115ee/fonc-14-1496074-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b3/11769998/e2d49877af54/fonc-14-1496074-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b3/11769998/5fa505f5c94d/fonc-14-1496074-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b3/11769998/05dc0a3b0632/fonc-14-1496074-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b3/11769998/554224f115ee/fonc-14-1496074-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b3/11769998/e2d49877af54/fonc-14-1496074-g004.jpg

相似文献

[1]
Gastric schwannoma with post-surgical gastroparesis: a case report and literature review.

Front Oncol. 2025-1-13

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Relamorelin in Gastroparesis and Diabetic Gastroparesis: A Meta-Analysis on Its Efficacy and Safety.

Cureus. 2023-11-5

[2]
Gastric schwannoma: A retrospective analysis of clinical characteristics, treatments, and outcomes.

Asian J Surg. 2024-1

[3]
Laparoscopic resection for gastric schwannoma larger than 30 mm with long-term outcomes.

BMC Surg. 2023-9-19

[4]
Identification of gastric schwannoma and non-metastatic gastric stromal tumor by CT: a single-institution retrospective diagnostic test.

J Gastrointest Oncol. 2023-4-29

[5]
Is vitamin B12 deficiency a risk factor for gastroparesis in patients with type 2 diabetes?

Diabetol Metab Syndr. 2023-3-1

[6]
Recurrence of gastric schwannoma.

Rev Esp Enferm Dig. 2023-4

[7]
Acupuncture for postoperative gastroparesis syndrome: A protocol for systematic review and meta-analysis.

Medicine (Baltimore). 2022-12-23

[8]
Targeting the pylorus in gastroparesis: From physiology to endoscopic pyloromyotomy.

Neurogastroenterol Motil. 2023-2

[9]
Gastric Electrical Stimulation for the Treatment of Gastroparesis or Gastroparesis-Like Symptoms: A Systemic Review and Meta-Analysis.

Neuromodulation. 2024-2

[10]
Systematic review on sleeve gastrectomy or Roux-en-Y gastric bypass surgery for refractory gastroparesis.

Surg Obes Relat Dis. 2023-3

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