Totally Stapled Proximal Gastrectomy - For giant gastric GIST

Abstract

59 year old male got admitted in our department
with history of hematemesis
and melena for 2 weeks. He also presented
with difficulty in breathing, bilateral
pedal edema and anemia. He was
on Anti-retroviral treatment for the past
6yrs. Examination of the abdomen revealed
mass in the epigastrium. CT scan
Abdomen showed an 8X8cm lesion in
the fundus and body of stomach suggestive
of GISTlymphoma.On endoscopy,
there was a bleeding polypoidal growth
in the fundus and biopsy from the lesion
was suggestive of GIST. Intra operatively,
there was a large exophytic growth
from the fundus of the stomach obscuring
GE junction of stomach. A totally stapled
proximal gastrectomy was done.
The occurrence of this tumor in an HIVpositive
patient is coincidental. This case
is presented for different stapling technique
for performing proximal gastrectomy.
This stapler technique can prevent
frequent crossover of needles during surgery
and may prevent health hazard to
healthcare workers