Department of Surgery, Rowan University SOM Kennedy University Hospital, Stratford, USA. General Surgery-Advocare, Rowan University SOM Kennedy University Hospital, Cherry Hill, USA. Minimally Invasive Surgery Kennedy University Hospital, Rowan University SOM Kennedy University Hospital, Cherry Hill, USA.
A stricture formation resulting in impedance of gastric emptying is a fairly common complication after gastric surgery with endoscopy being the most direct way of diagnosis. When this and other methods fail in detecting the complication, the proper diagnosis can become challenging. We present an unusual case of an acquired gastric stricture after the gastrointestinal stromal tumor (GIST) resection. A stapled strictureplasty was completed with the simultaneous application of the diagnostic laparoscopy and the intra-operative EGD. We perform the comprehensive literature review (Pubmed-Cochrane 1990-current) diagnostic and surgical treatments of post resection gastric strictures.
Gastrointestinal Stromal Tumor, Gastric Stricture, Minimally Invasive Surgery, EGD, Laparoscopy
Goldenberg, A. , Sandau, R. and Fakulujo, A. (2014) EGD Assisted Stapled Strictureplasty for Gastric Stricture after GIST Tumor Resection: A Case Report. Surgical Science, 5, 201-205. doi: 10.4236/ss.2014.55034.
[1] Holt, P.D., de Lange, E.E. and Shaffer, Jr., H.A. (1995) Stricture after Gastric Surgery: Treatment with Fluoroscopically Guided Balloon Dilatation. American Journal of Roentgenology, 164, 895-899. http://dx.doi.org/10.2214/ajr.164.4.7726043
[2] Vance, P.L., de Lange, E.E., Shaffer, H.A. and Schirmer, B. (2002) Gastric Outlet Obstruction Following Surgery for Morbid Obesity: Efficacy of Fluoroscopically Guided Balloon Dilation. Radiology, 222, 70-72. http://dx.doi.org/10.1148/radiol.2221010640
[3] Keiichi, U., Kohhei, O., Mikihiro, I. and Masato, K. (2005) Stapled Gastroplasty for Antral Stricture after Repair of Neonatal Gastric Rupture: Report of a Case. Pediatric Surgery International, 21, 331-332. http://dx.doi.org/10.1007/s00383-004-1360-y
[4] Henry, B., George, S.M.C. and Walter, J.P. (2007) Surgical Management of Obesity. Saunders Elsevier, Philadelphia, 303.