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  • Title: Simple segmental resection of the second portion of the duodenum for the treatment of gastrointestinal stromal tumors.
    Author: Asakawa M, Sakamoto Y, Kajiwara T, Nara S, Esaki M, Shimada K, Hamaguchi T, Kosuge T.
    Journal: Langenbecks Arch Surg; 2008 Jul; 393(4):605-9. PubMed ID: 18026747.
    Abstract:
    BACKGROUND: Adequate surgical procedure for gastrointestinal stromal tumors (GISTs) arising in the second portion of the duodenum remains controversial. MATERIALS AND METHODS: Segmental resection of the second portion of the duodenum and Roux-en-Y reconstruction was performed in two patients with duodenal GISTs. In case 1, a huge tumor arising from the second portion of the duodenum occupied the right upper quadrant of the abdomen. Preoperative treatment using imatinib mesylate decreased the tumor size from 22 to 8 cm. In case 2, the tumor was located in the second portion of the duodenum longitudinally. In both of the cases, the major papilla was preserved. RESULTS: The postoperative course was uneventful, and they were discharged on day 11. Surgical margins were negative. CONCLUSION: The present simple segmental duodenectomy can be applied in the treatment of GISTs or other low-grade malignancies.
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