title: [A Case of Gastric Carcinoid Associated with Hypergastrinemia Treated with LATG].
abstract: A 67-year-old man had a gastric polyp diagnosed on screening. Atrophic changes in the upper gastric mucosa were seen on upper gastrointestinal endoscopy. In addition, endoscopy revealed in the middle area of the stomach wall a 10 mm polyp that was diagnosed as a carcinoid tumor through biopsy. Blood serum gastrin was elevated at 2,800 pg/mL.We diagnosed a Rindi Type 1 gastric carcinoid. The patient was planned to be treated with surgical laparoscopy assisted distal gastrectomy (LADG); however, the procedure was changed to intraoperative laparoscopy assisted total gastrectomy (LATG). Chromogranin-positive tumor pathological findings in the mucous membrane submucosa and in the muscularis mucosae endocrine cell micronest (ECM) were widespread. There was no obvious vascular invasion. After the surgery, the serum gastrin level normalized and the patient remains alive.
authors.affiliation: Dept. of Surgery, Kinan Hospital.
authors.forename: Toshiya
authors.initials: T
authors.lastname: Michiura
authors.forename: Satoru
authors.initials: S
authors.lastname: Miyazaki
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yamabe
authors.forename: Shigeo
authors.initials: S
authors.lastname: Fujita
authors.forename: Hajime
authors.initials: H
authors.lastname: Hirose
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Miyazaki
authors.forename: Satoshi
authors.initials: S
authors.lastname: Sugimoto
authors.forename: Makio
authors.initials: M
authors.lastname: Nagaoka
authors.forename: Takashi
authors.initials: T
authors.lastname: Ozaki
mesh_terms: D000368:Aged; D001706:Biopsy; D002276:Carcinoid Tumor / Q000209:etiology / Q000601:surgery*; D005743:Gastrectomy; D006801:Humans; D006943:Hyperglycemia / Q000150:complications*; D010535:Laparoscopy; D008297:Male; D011379:Prognosis; D013274:Stomach Neoplasms / Q000209:etiology / Q000473:pathology / Q000601:surgery*