Associated Complication of Gastrointestinal Stromal Tumours of the Small Intestine
Aim. To consider the possibility of the diagnosis of a rare small bowel tumour complicated by small bowel obstruction and small bowel bleeding, as well as the surgical treatment of this pathology using a minimally invasive surgical approach.Results and discussion. The authors present a clinical case...
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| Language: | Russian |
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Ministry of Healthcare of the Russian Federation. “Kuban State Medical University”
2019-11-01
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| Series: | Кубанский научный медицинский вестник |
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| Online Access: | https://ksma.elpub.ru/jour/article/view/1954 |
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| author | Nikolay A. Trifanov Alexander Ya. Korovin Alexander N. Manzhos Alexey V. Barsuk |
| author_facet | Nikolay A. Trifanov Alexander Ya. Korovin Alexander N. Manzhos Alexey V. Barsuk |
| author_sort | Nikolay A. Trifanov |
| collection | DOAJ |
| description | Aim. To consider the possibility of the diagnosis of a rare small bowel tumour complicated by small bowel obstruction and small bowel bleeding, as well as the surgical treatment of this pathology using a minimally invasive surgical approach.Results and discussion. The authors present a clinical case of associated complication of a gastrointestinal stromal tumour (GIST) of the small intestine in a 48-year-old patient. The patient was admitted to a surgical clinic with small bowel obstruction, episodes of intestinal bleeding and anaemia. The diagnosis was determined using CT enterography. In line with the current trends for minimally invasive surgery, minimally invasive laparotomy was performed drawing on the CT mapping of the anterior abdominal wall. The last stage involved in the morphological verification of GIST, which employs a standard procedure of IHC testing, revealed a malignant GIST, spindle cell variant. The verified histotype of a small intestinal tumour provides the opportunity to choose the necessary variant of adjuvant chemotherapy, as well as to improve general and relapse-free survival.Conclusion. Minimally invasive operations can be performed in the complicated course of GIST due to the biological properties of this pathology (absence of lymphogenic metastasis and infiltrative growth) without decreasing five-year survival rate. The use of CT helps make a topical diagnosis and plan minimally invasive surgical treatment. |
| format | Article |
| id | doaj-art-0aa2d509a52e47f4bacc0dda19d98ae9 |
| institution | Matheson Library |
| issn | 1608-6228 2541-9544 |
| language | Russian |
| publishDate | 2019-11-01 |
| publisher | Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” |
| record_format | Article |
| series | Кубанский научный медицинский вестник |
| spelling | doaj-art-0aa2d509a52e47f4bacc0dda19d98ae92025-08-04T13:05:14ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442019-11-0126513514210.25207/1608-6228-2019-26-5-135-1421145Associated Complication of Gastrointestinal Stromal Tumours of the Small IntestineNikolay A. Trifanov0Alexander Ya. Korovin1Alexander N. Manzhos2Alexey V. Barsuk3Kuban State Medical University, Ministry of Healthcare of the Russian FederationKuban State Medical University, Ministry of Healthcare of the Russian FederationKuban State Medical University, Ministry of Healthcare of the Russian FederationResearch Institute — Regional Clinical Hospital 1 n.a. Prof. S.V. Ochapovsky, Ministry of Healthcare of Krasnodar KraiAim. To consider the possibility of the diagnosis of a rare small bowel tumour complicated by small bowel obstruction and small bowel bleeding, as well as the surgical treatment of this pathology using a minimally invasive surgical approach.Results and discussion. The authors present a clinical case of associated complication of a gastrointestinal stromal tumour (GIST) of the small intestine in a 48-year-old patient. The patient was admitted to a surgical clinic with small bowel obstruction, episodes of intestinal bleeding and anaemia. The diagnosis was determined using CT enterography. In line with the current trends for minimally invasive surgery, minimally invasive laparotomy was performed drawing on the CT mapping of the anterior abdominal wall. The last stage involved in the morphological verification of GIST, which employs a standard procedure of IHC testing, revealed a malignant GIST, spindle cell variant. The verified histotype of a small intestinal tumour provides the opportunity to choose the necessary variant of adjuvant chemotherapy, as well as to improve general and relapse-free survival.Conclusion. Minimally invasive operations can be performed in the complicated course of GIST due to the biological properties of this pathology (absence of lymphogenic metastasis and infiltrative growth) without decreasing five-year survival rate. The use of CT helps make a topical diagnosis and plan minimally invasive surgical treatment.https://ksma.elpub.ru/jour/article/view/1954gistsmall bowel obstructionsmall bowel bleedingdiagnosisminimally invasive surgical approach |
| spellingShingle | Nikolay A. Trifanov Alexander Ya. Korovin Alexander N. Manzhos Alexey V. Barsuk Associated Complication of Gastrointestinal Stromal Tumours of the Small Intestine Кубанский научный медицинский вестник gist small bowel obstruction small bowel bleeding diagnosis minimally invasive surgical approach |
| title | Associated Complication of Gastrointestinal Stromal Tumours of the Small Intestine |
| title_full | Associated Complication of Gastrointestinal Stromal Tumours of the Small Intestine |
| title_fullStr | Associated Complication of Gastrointestinal Stromal Tumours of the Small Intestine |
| title_full_unstemmed | Associated Complication of Gastrointestinal Stromal Tumours of the Small Intestine |
| title_short | Associated Complication of Gastrointestinal Stromal Tumours of the Small Intestine |
| title_sort | associated complication of gastrointestinal stromal tumours of the small intestine |
| topic | gist small bowel obstruction small bowel bleeding diagnosis minimally invasive surgical approach |
| url | https://ksma.elpub.ru/jour/article/view/1954 |
| work_keys_str_mv | AT nikolayatrifanov associatedcomplicationofgastrointestinalstromaltumoursofthesmallintestine AT alexanderyakorovin associatedcomplicationofgastrointestinalstromaltumoursofthesmallintestine AT alexandernmanzhos associatedcomplicationofgastrointestinalstromaltumoursofthesmallintestine AT alexeyvbarsuk associatedcomplicationofgastrointestinalstromaltumoursofthesmallintestine |