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  • Title: [A Case of Inverted LECS for GIST in the Remnant Stomach after Distal Gastrectomy].
    Author: Watanabe M, Nishizaki M, Takenaka R, Takei K, Mikane Y, Shoji R, Okada T, Aoyama K, Nogami T, Nishikawa H, Shinoura S, Shigemitsu K, Nonaka Y, Hayashi D.
    Journal: Gan To Kagaku Ryoho; 2019 Dec; 46(13):1954-1956. PubMed ID: 32157024.
    Abstract:
    Laparoscopy and endoscopy cooperative surgery(LECS)is the surgical procedure used to avoid excessive resection of the gastrointestinal wall and preserve its function. We report the case of a patient who was successfully treated with inverted LECS for gastrointestinal stromal tumor(GIST)in the remnant stomach and underwent distal gastrectomy. The patient was a 75- year-old man who received distal gastrectomy for gastric ulcer 28 years before. Three years before he was diagnosed as having gastric submucosal tumor(SMT)as a gastrointestinal tumor(GIST)by using EUS. As the tumor increased, he was admitted to our hospital. Upper gastrointestinal endoscopy revealed a 30mm SMT just below the cardiac part of the remnant stomach. Biopsy by EUS-FNA revealed CD34(-), c-kit(+), S-100(-), and a-SMA(-), which indicated gastric GIST. Inverted LECS was performed. His postoperative course was good, and he was discharged from the hospital 9 days after the surgery.
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