Duodenum-preserving local excision of a gastrointestinal stromal tumor.
BACKGROUND
Duodenal gastrointestinal stromal tumors (GISTs) are rare. Because of the complex anatomy of the duodenum, the methods of resection of these tumors are controversial and diverse.


METHODS
We report a case of a duodenal GIST in the anterolateral wall of the second part of the duodenum, which was successfully managed by local excision. The surgery was facilitated by preoperative mapping with Indian ink and navigation by endoscopy to assess the adequacy of resection and to avoid injury to the ampulla.


RESULTS
Reconstruction was successful with a duodenojejunostomy and protected by a nasoduodenal drain.


CONCLUSIONS
The patient had no postoperative complications and the tumor was confirmed to be a GIST of the duodenum successful with an adequate resection margin.
Liyanage
Chandika A H
CA
Department of Surgery, University of Kelaniya Medical School, Ragama, Sri Lanka. chandikaliyanage@hotmail.com
Abeygunawardhana
Sanjaya
S
Kumarage
Sumudu
S
Deen
Kemal I
KI
D000714:Anastomosis, Surgical / Q000379:methods; D003937:Diagnosis, Differential; D004379:Duodenal Neoplasms / Q000473:pathology / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005500:Follow-Up Studies; D046152:Gastrointestinal Stromal Tumors / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008875:Middle Aged