title: Laparoscopic gastric wedge resection and prophylactic antireflux surgery for a submucosal tumor of gastroesophageal junction.
abstract: A laparoscopic wedge resection for a submucosal tumor, which is close to the gastroesophageal junction, is technically challenging. This can be a dilemma to both patients and surgeons when the tumor margin involves the gastroesophageal junction because a wedge resection in this situation might result in a deformity of the gastroesophageal junction or an injury to the lower esophageal sphincter, which ultimately results in lifelong gastroesophageal reflux disease. The patient was a 42 year-old male, whose preoperative endoscopic ultrasonographic finding did not rule out a gastrointestinal stromal tumor. He underwent a laparoscopic gastric wedge resection and prophylactic anterior partial fundoplication (Dor) and was discharged from hospital on the fifth postoperative day without any complications. There were no symptoms of reflux 5 months after surgery. A laparoscopic wedge resection and prophylactic anti-reflux surgery might be a good surgical option for a submucosal tumor at the gastroesophageal junction.
authors.affiliation: Department of Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, School of Medicine, Incheon, Korea.
authors.forename: Jeong Sun
authors.initials: JS
authors.lastname: Lee
authors.forename: Jin-Jo
authors.initials: JJ
authors.lastname: Kim
authors.forename: Seung-Man
authors.initials: SM
authors.lastname: Park
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