El-Masry Hassan, Abouegylah Mohamed, Abokhozima Ahmed
Alexandria University, Alexandria, Alexandria, Egypt, Egypt.
El-Ekbal Hospital, Alexandria, Alexandria, Egypt, Egypt.
Obes Surg. 2025 Jul;35(7):2762-2764. doi: 10.1007/s11695-025-07919-0. Epub 2025 May 19.
Incidental gastrointestinal stromal tumors (GISTs) discovered during bariatric surgeries present unique diagnostic and management challenges. In response to Khan et al.'s report on a sleeve-preserving approach to GIST resection, we highlight several critical considerations. Contrary to the notion that incidental GISTs rarely alter surgical plans, tumor characteristics, especially size and location near critical structures like the gastroesophageal junction, can necessitate procedural modifications. Preoperative endoscopy plays a pivotal role in early detection and surgical planning. We also underscore the importance of individualized oncologic decision-making, integrating tumor parameters and procedural classification systems.
在减肥手术过程中偶然发现的胃肠道间质瘤（GIST）带来了独特的诊断和管理挑战。针对汗等人关于保留袖状胃的GIST切除方法的报告，我们强调了几个关键的注意事项。与偶然发现的GIST很少改变手术计划这一观点相反，肿瘤特征，尤其是大小和靠近胃食管交界等关键结构的位置，可能需要对手术程序进行修改。术前内镜检查在早期检测和手术规划中起着关键作用。我们还强调了个体化肿瘤学决策的重要性，将肿瘤参数和手术分类系统结合起来。
