A gastrointestinal stromal tumor at the esophagogastric junction successfully treated by laparoscopic wedge resection with seromuscular layer dissection: a case report

Hidefumi Shiroshita; Norio Shiraishi; Yuki Shitomi; Tsuyoshi Etoh; Seigo Kitano; Masafumi Inomata

doi:10.1186/s40792-015-0090-9

A gastrointestinal stromal tumor at the esophagogastric junction successfully treated by laparoscopic wedge resection with seromuscular layer dissection: a case report

Surg Case Rep. 2015 Dec;1(1):89. doi: 10.1186/s40792-015-0090-9. Epub 2015 Sep 25.

Authors

Hidefumi Shiroshita¹, Norio Shiraishi², Yuki Shitomi³, Tsuyoshi Etoh⁴, Seigo Kitano⁵, Masafumi Inomata⁶

Affiliations

¹ Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama Machi, Yufu, Oita, 879-5593, Japan. hshiro@oita-u.ac.jp.
² Center for Community Medicine, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama Machi, Yufu, Oita, 879-5593, Japan. norioh@oita-u.ac.jp.
³ Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama Machi, Yufu, Oita, 879-5593, Japan. yuki-mase@oita-u.ac.jp.
⁴ Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama Machi, Yufu, Oita, 879-5593, Japan. teto@oita-u.ac.jp.
⁵ Oita University, 1-1 Idaigaoka, Hasama Machi, Yufu, Oita, 879-5593, Japan. kitano@oita-u.ac.jp.
⁶ Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama Machi, Yufu, Oita, 879-5593, Japan. inomata@oita-u.ac.jp.

Abstract

Herein, we report a case of a gastrointestinal stromal tumor (GIST) at the esophagogastric junction (EGJ) that was successfully treated by a laparoscopic wedge resection (LWR) after dissection of the seromuscular layer around the tumor to prevent postoperative deformities and stenosis of the EGJ. Subsequently, the abdominal esophagus was wrapped by the gastric fornix according to Dor's method in order to prevent reflux esophagitis after surgery.A 71-year-old female patient was admitted with a diagnosis of a GIST (23 × 20 × 20 mm) at the EGJ. We performed the abovementioned operation.Gastroduodenal endoscopic examination revealed no deformity or stenosis of the EGJ at 6 months after the operation. The patient has not experienced any reflux symptoms. Tumor recurrence was not noted 26 months after the operation.This procedure is useful in preventing the deformity and stenosis of the EGJ as well as postoperative reflux esophagitis.

Keywords: Anti-reflux; Gastric GIST; Laparoscopic wedge resection.