RESECCIÓN MIXTA LAPAROSCÓPICA Y ENDOSCÓPICA DE UN TUMOR DEL ESTROMA GASTROINTESTINAL DE LA UNIÓN GASTROESOFÁGICA.
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| Title: | RESECCIÓN MIXTA LAPAROSCÓPICA Y ENDOSCÓPICA DE UN TUMOR DEL ESTROMA GASTROINTESTINAL DE LA UNIÓN GASTROESOFÁGICA. |
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| Alternate Title: | Resection of a gastrointestinal stromal tumor of the gastroesophagic junction using a mixed laparoscopic-endoscopic technique. |
| Authors: | Beltrán, S. Marcelo A.1,2 beltran_01@yahoo.com, Yamile Haito, Ch.1, Ramón Díaz, J.1, Oriana Urbina, C.2, Constanza Rodas, N.3, Andrea De Balanzo, A.3, Oliver Villa, G.3 |
| Source: | Revista Chilena de Cirugia. dic2014, Vol. 66 Issue 6, p586-591. 6p. |
| Abstract (English): | Introduction: The ideal treatment for non-disseminated gastrointestinal stromal tumors (GIST) of the stomach is the local surgical resection. The laparoscopic approach has been validated showing its safety without compromising the oncological principles. The localization on the gastroesophagic junction is a specific situation on gastric GIST, mainly for submucosal tumors arising over the lesser curvature. Wedge resection of these tumors is technically demanding and has been associated to surgical complications and late development of stenosis and gastroesophageal reflux. For these reasons a mixed technique combining endoscopic and laparoscopic approaches has been developed. Herein we report a patient with an endophytic gastric GIST located on the gastroesophageal junction operated on with this technique. Clinical Case: A female 37-years old patient with a submucosal tumor of the gastroesophagic junction was submitted to laparoscopic surgery. During the surgical act the difficulty to continue with the laparoscopic resection became evident and the intragastric resection assisted with endoscopy was undertaken. The technique and the surgical outcomes are described. Conclusion. The intragastric approach for submucosal tumors located over the gastroesophagic junction is safe and relatively simple. This technique is widely described in the medical literature and its indications validated. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción. El tratamiento de elección para los tumores localizados del estroma gastrointestinal (GIST) del estómago es la resección quirúrgica local. Se ha demostrado la seguridad de la técnica laparoscópica sin compromiso de los principios oncológicos. Un problema específico está constituido por los GIST de la unión esófago-gástrica, principalmente los tumores de crecimiento intramural que se localizan en la curvatura menor. La resección en cuña de estos tumores no sólo es técnicamente demandante, sino que se asocia a complicaciones quirúrgicas y al desarrollo de estenosis de la unión gastroesofágica o a reflujo gastroesofágico por la extensa destrucción de la anatomía. Por estas razones se desarrolló una técnica mixta combinando el abordaje laparoscópico y endoscópico. En el presente reporte, describimos el caso de una paciente con un GIST gástrico endofítico de la unión esófago-gástrica que fue operado mediante esta técnica. Caso clínico: Paciente femenino de 37 años de edad, en la que se diagnostica un tumor de la unión esófago-gástrica. Ante la sospecha de un posible GIST gástrico se decide el abordaje laparoscópico, durante la cirugía se evidencia la dificultad de la resección laparoscópica por lo que se intenta la resección intragástrica asistida con endoscopia. Se describe la técnica y los resultados de la cirugía. Conclusiones. El abordaje intragástrico de tumores submucosos de la unión esófago-gástrica es seguro y relativamente simple. Esta técnica se encuentra ampliamente descrita en la literatura y sus indicaciones están validadas. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Chilena de Cirugia is the property of Sociedad de Cirujanos de Chile and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Items | – Name: Title Label: Title Group: Ti Data: RESECCIÓN MIXTA LAPAROSCÓPICA Y ENDOSCÓPICA DE UN TUMOR DEL ESTROMA GASTROINTESTINAL DE LA UNIÓN GASTROESOFÁGICA. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Resection of a gastrointestinal stromal tumor of the gastroesophagic junction using a mixed laparoscopic-endoscopic technique. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Beltrán%2C+S%2E+Marcelo+A%2E%22">Beltrán, S. Marcelo A.</searchLink><relatesTo>1,2</relatesTo><i> beltran_01@yahoo.com</i><br /><searchLink fieldCode="AR" term="%22Yamile+Haito%2C+Ch%2E%22">Yamile Haito, Ch.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ramón+Díaz%2C+J%2E%22">Ramón Díaz, J.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Oriana+Urbina%2C+C%2E%22">Oriana Urbina, C.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Constanza+Rodas%2C+N%2E%22">Constanza Rodas, N.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Andrea+De+Balanzo%2C+A%2E%22">Andrea De Balanzo, A.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Oliver+Villa%2C+G%2E%22">Oliver Villa, G.</searchLink><relatesTo>3</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Chilena+de+Cirugia%22">Revista Chilena de Cirugia</searchLink>. dic2014, Vol. 66 Issue 6, p586-591. 6p. – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: The ideal treatment for non-disseminated gastrointestinal stromal tumors (GIST) of the stomach is the local surgical resection. The laparoscopic approach has been validated showing its safety without compromising the oncological principles. The localization on the gastroesophagic junction is a specific situation on gastric GIST, mainly for submucosal tumors arising over the lesser curvature. Wedge resection of these tumors is technically demanding and has been associated to surgical complications and late development of stenosis and gastroesophageal reflux. For these reasons a mixed technique combining endoscopic and laparoscopic approaches has been developed. Herein we report a patient with an endophytic gastric GIST located on the gastroesophageal junction operated on with this technique. Clinical Case: A female 37-years old patient with a submucosal tumor of the gastroesophagic junction was submitted to laparoscopic surgery. During the surgical act the difficulty to continue with the laparoscopic resection became evident and the intragastric resection assisted with endoscopy was undertaken. The technique and the surgical outcomes are described. Conclusion. The intragastric approach for submucosal tumors located over the gastroesophagic junction is safe and relatively simple. This technique is widely described in the medical literature and its indications validated. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción. El tratamiento de elección para los tumores localizados del estroma gastrointestinal (GIST) del estómago es la resección quirúrgica local. Se ha demostrado la seguridad de la técnica laparoscópica sin compromiso de los principios oncológicos. Un problema específico está constituido por los GIST de la unión esófago-gástrica, principalmente los tumores de crecimiento intramural que se localizan en la curvatura menor. La resección en cuña de estos tumores no sólo es técnicamente demandante, sino que se asocia a complicaciones quirúrgicas y al desarrollo de estenosis de la unión gastroesofágica o a reflujo gastroesofágico por la extensa destrucción de la anatomía. Por estas razones se desarrolló una técnica mixta combinando el abordaje laparoscópico y endoscópico. En el presente reporte, describimos el caso de una paciente con un GIST gástrico endofítico de la unión esófago-gástrica que fue operado mediante esta técnica. Caso clínico: Paciente femenino de 37 años de edad, en la que se diagnostica un tumor de la unión esófago-gástrica. Ante la sospecha de un posible GIST gástrico se decide el abordaje laparoscópico, durante la cirugía se evidencia la dificultad de la resección laparoscópica por lo que se intenta la resección intragástrica asistida con endoscopia. Se describe la técnica y los resultados de la cirugía. Conclusiones. El abordaje intragástrico de tumores submucosos de la unión esófago-gástrica es seguro y relativamente simple. Esta técnica se encuentra ampliamente descrita en la literatura y sus indicaciones están validadas. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Chilena de Cirugia is the property of Sociedad de Cirujanos de Chile and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.4067/s0718-40262014000600013 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 6 StartPage: 586 Titles: – TitleFull: RESECCIÓN MIXTA LAPAROSCÓPICA Y ENDOSCÓPICA DE UN TUMOR DEL ESTROMA GASTROINTESTINAL DE LA UNIÓN GASTROESOFÁGICA. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Beltrán, S. Marcelo A. – PersonEntity: Name: NameFull: Yamile Haito, Ch. – PersonEntity: Name: NameFull: Ramón Díaz, J. – PersonEntity: Name: NameFull: Oriana Urbina, C. – PersonEntity: Name: NameFull: Constanza Rodas, N. – PersonEntity: Name: NameFull: Andrea De Balanzo, A. – PersonEntity: Name: NameFull: Oliver Villa, G. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: dic2014 Type: published Y: 2014 Identifiers: – Type: issn-print Value: 03793893 Numbering: – Type: volume Value: 66 – Type: issue Value: 6 Titles: – TitleFull: Revista Chilena de Cirugia Type: main |
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