Laparoscopic Gastric Wedge Resection and Prophylactic Antireflux Surgery for a Submucosal Tumor of Gastroesophageal Junction.
10.5230/jgc.2011.11.2.131
- Author:
Jeong Sun LEE
1
;
Jin Jo KIM
;
Seung Man PARK
Author Information
1. Department of Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, School of Medicine, Incheon, Korea. kjj@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Submucosal tumor;
Esophagogastric junction;
Laparoscopic wedge resection;
Antireflux surgery
- MeSH:
Congenital Abnormalities;
Esophageal Sphincter, Lower;
Esophagogastric Junction;
Fundoplication;
Gastroesophageal Reflux;
Gastrointestinal Stromal Tumors;
Humans;
Male
- From:Journal of Gastric Cancer
2011;11(2):131-134
- CountryRepublic of Korea
- Language:English
-
Abstract:
A laparoscopic wedge resection for a submucosal tumor, which is close to the gastroesophageal junction, is technically challenging. This can be a dilemma to both patients and surgeons when the tumor margin involves the gastroesophageal junction because a wedge resection in this situation might result in a deformity of the gastroesophageal junction or an injury to the lower esophageal sphincter, which ultimately results in lifelong gastroesophageal reflux disease. The patient was a 42 year-old male, whose preoperative endoscopic ultrasonographic finding did not rule out a gastrointestinal stromal tumor. He underwent a laparoscopic gastric wedge resection and prophylactic anterior partial fundoplication (Dor) and was discharged from hospital on the fifth postoperative day without any complications. There were no symptoms of reflux 5 months after surgery. A laparoscopic wedge resection and prophylactic anti-reflux surgery might be a good surgical option for a submucosal tumor at the gastroesophageal junction.
