{"title":"Gastric tumour causing gastroduodenal intussusception - Laparoscopic management.","authors":"Pranav Wadhokar, Guhan Venkatakrishnan, Sudheer Othiyil Vayoth, Vinaya Chandra","doi":"10.4103/jmas.jmas_84_25","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Adult gastroduodenal intussusceptions are very rare. Presentation of gastric gastrointestinal stromal tumours (GISTs) as gastroduodenal intussusception is atypical and clinically difficult to diagnose due to non-specific symptoms. We report the rare case of an elderly male who presented with clinical features of gastric outlet obstruction. Diagnostic imaging and endoscopy revealed a gastric antral GIST leading to gastroduodenal intussusception. Due to the irreducibility of the intussusception, the patient underwent laparoscopic distal gastrectomy as definitive management. Laparoscopic management in such cases is feasible with equally good oncological outcomes as compared to open surgery, with better cosmetic outcome and faster recovery.</p>","PeriodicalId":48905,"journal":{"name":"Journal of Minimal Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Minimal Access Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/jmas.jmas_84_25","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Adult gastroduodenal intussusceptions are very rare. Presentation of gastric gastrointestinal stromal tumours (GISTs) as gastroduodenal intussusception is atypical and clinically difficult to diagnose due to non-specific symptoms. We report the rare case of an elderly male who presented with clinical features of gastric outlet obstruction. Diagnostic imaging and endoscopy revealed a gastric antral GIST leading to gastroduodenal intussusception. Due to the irreducibility of the intussusception, the patient underwent laparoscopic distal gastrectomy as definitive management. Laparoscopic management in such cases is feasible with equally good oncological outcomes as compared to open surgery, with better cosmetic outcome and faster recovery.
期刊介绍:
Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.