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接受机器人袖状胃切除术的患者中发现的偶然胃肠道间质瘤

Incidental Gastrointestinal Stromal Tumor in a Patient Undergoing Robotic Sleeve Gastrectomy.

作者信息

Ahmed Adham, Ranjbar Tara, Lovell Ricky Y, Colon Samantha, Tejada Branden, Platt Claire, Russell Caitlin, Mukherjee Indraneil, Haney Olivia

机构信息

City University of New York School of Medicine, New York, NY, USA. (Drs. Ahmed, Lovell, Colon, and Tejada).

Northwell, New Hyde Park, NY, USA. (Drs. Ranjbar, Russell, Mukherjee, and Haney).

出版信息

CRSLS. 2025 Mar 25;11(4). doi: 10.4293/CRSLS.2024.00045. eCollection 2024 Oct-Dec.

DOI:10.4293/CRSLS.2024.00045
PMID:40144201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11938173/
Abstract

Bariatric surgery is the most effective treatment option for patients with refractory morbid obesity to help facilitate weight-loss and reduce long-term metabolic morbidity and mortality. Over 200,000 procedures are performed annually in the United States with sleeve gastrectomy being the most common surgical approach. However, the growing popularity of surgical bariatric interventions has led to an increase in incidental findings of gastrointestinal neoplasms in intraoperative specimens. We report our experience performing a robotic sleeve gastrectomy in a 58-year-old woman who was later found to have a gastrointestinal stromal tumor (GIST) with positive immunohistochemical marking.

摘要

减重手术是治疗难治性病态肥胖患者以促进体重减轻并降低长期代谢性疾病发病率和死亡率的最有效治疗选择。在美国,每年进行超过20万例此类手术,其中袖状胃切除术是最常见的手术方式。然而,减重手术干预的日益普及导致术中标本中胃肠道肿瘤的偶然发现有所增加。我们报告了我们为一名58岁女性实施机器人袖状胃切除术的经验,该患者后来被发现患有免疫组化标记呈阳性的胃肠道间质瘤(GIST)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fe3/11938173/9ac6f879d4bd/LS-JSLS240044F003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fe3/11938173/e9bdab459dd7/LS-JSLS240044F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fe3/11938173/ec9872d4b270/LS-JSLS240044F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fe3/11938173/9ac6f879d4bd/LS-JSLS240044F003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fe3/11938173/e9bdab459dd7/LS-JSLS240044F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fe3/11938173/ec9872d4b270/LS-JSLS240044F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fe3/11938173/9ac6f879d4bd/LS-JSLS240044F003.jpg

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本文引用的文献

1
Benefits and Risks of Bariatric Surgery in Adults: A Review.成人减肥手术的获益与风险:综述
JAMA. 2020 Sep 1;324(9):879-887. doi: 10.1001/jama.2020.12567.
2
Incidental Gastrointestinal Stromal Tumors (GISTs) and Bariatric Surgery: A Review.偶然发现的胃肠道间质肿瘤(GIST)与减重手术:综述。
Obes Surg. 2020 Nov;30(11):4529-4541. doi: 10.1007/s11695-020-04853-1. Epub 2020 Jul 24.
3
Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study.腹腔镜袖状胃切除术的长期结果——一项单中心前瞻性观察性研究
Wideochir Inne Tech Maloinwazyjne. 2019 Apr;14(2):242-248. doi: 10.5114/wiitm.2019.84194. Epub 2019 Apr 8.
4
Coincidental Detection of Gastrointestinal Stromal Tumors During Laparoscopic Bariatric Procedures-Data and Treatment Strategy of a German Reference Center.腹腔镜减肥手术期间意外发现胃肠道间质瘤——德国参考中心的数据与治疗策略
Obes Surg. 2019 Jun;29(6):1858-1866. doi: 10.1007/s11695-019-03782-y.
5
Medication adherence and barriers among low-income, uninsured patients with multiple chronic conditions.低收入、无保险的多重慢性病患者的药物依从性和障碍。
Res Social Adm Pharm. 2019 Jun;15(6):744-753. doi: 10.1016/j.sapharm.2018.09.006. Epub 2018 Sep 15.
6
Global epidemiology of gastrointestinal stromal tumours (GIST): A systematic review of population-based cohort studies.胃肠道间质瘤(GIST)的全球流行病学:基于人群队列研究的系统评价
Cancer Epidemiol. 2016 Feb;40:39-46. doi: 10.1016/j.canep.2015.10.031. Epub 2015 Nov 24.
7
The standard diagnosis, treatment, and follow-up of gastrointestinal stromal tumors based on guidelines.基于指南的胃肠道间质瘤的标准诊断、治疗及随访
Gastric Cancer. 2016 Jan;19(1):3-14. doi: 10.1007/s10120-015-0526-8. Epub 2015 Aug 15.
8
Incidental finding of GIST during obesity surgery.肥胖手术期间偶然发现胃肠道间质瘤。
Obes Surg. 2015 Mar;25(3):579-83. doi: 10.1007/s11695-015-1571-4.