Clinical practice guidelines for gastrointestinal stromal tumor (GIST) in Japan: English version

Nishida, Toshirou; Hirota, Seiichi; Yanagisawa, Akio; Sugino, Yoshinori; Minami, Manabu; Yamamura, Yoshitaka; Otani, Yoshihide; Shimada, Yasuhiro; Takahashi, Fumiaki; Kubota, Tetsuro

doi:10.1007/s10147-008-0798-7

Cited by 314 publications

(343 citation statements)

References 46 publications

Supporting

Mentioning

322

Contrasting

Unclassified

Order By: Relevance

“…There are certain differences in the follow-up examinations after surgery for GISTs between the guidelines of the National Comprehensive Cancer Network (NCCN) and the Japanese Society of Clinical Oncology (JSCO) (14,15). After surgical resection of all tumors, the NCCN guidelines recommend abdominal and pelvic CT imaging every 3-6 months for 3-5 years.…”

Section: Discussionmentioning

confidence: 99%

Emergency surgery for hemorrhagic shock caused by a gastrointestinal stromal tumor of the ileum: A case report

Shimazaki

Tabuchi

Nishida

et al. 2016

Molecular and Clinical Oncology

View full text Add to dashboard Cite

Abstract. In this report, a case of hemorrhagic shock caused by a gastrointestinal stromal tumor (GIST) of the ileum, which was successfully treated by emergency surgery, is presented. A 67-year-old male patient presented to the Ibaraki Medical Center, Tokyo Medical University (Ami, Japan) in July 18, 2014, with dizziness and blood in the stool. Upper endoscopy and colonoscopy failed to reveal the source of the hemorrhage, although abdominal contrast-enhanced computed tomography revealed extravasation of the contrast medium into the small intestine. The patient developed hemorrhagic shock; thus, double-balloon enteroscopy (DBE) was performed, which revealed a Meckel's diverticulum and a submucosal tumor with excessive bleeding at 60 and 100 cm proximal to the ileocecal valve, respectively. Subsequent emergency partial resection of the ileum, including the tumor and the Meckel's diverticulum, was performed in July 20, 2014. Histological examination of the excised tumor revealed proliferation of spindle-shaped cells, and immunohistochemical staining of the tumor was positive for CD34, KIT and α-smooth muscle actin, but negative for S-100 protein. These immunohistological results supported the diagnosis of GIST of the ileum. The patient had an uneventful recovery and has been monitored at our outpatient clinic for 14 months after surgery. This case demonstrated the efficacy of DBE for the diagnosis of small intestinal bleeding, and immediate emergency surgery should be considered for cases of small intestinal GISTs with excessive bleeding. IntroductionGastrointestinal stromal tumors (GISTs) are rare tumors that may arise from any site of the GI tract and are generally associated with abdominal pain, GI bleeding, or a palpable mass. However, a small intestinal GIST rarely causes hemorrhagic shock. We herein report a case of hemorrhagic shock with excessive bleeding caused by an ileal GIST that was managed by emergency surgery. The patient provided written informed consent for the publication of this case report. Case reportA 67-year-old male patient presented to the Department of Gastroenterology of the Ibaraki Medical Center, Tokyo Medical University (Ami, Japan) in July 18, 2014, with dizziness and blood in the stool. The patient's medical history included treatment for hypertension by a local physician. The findings of the subsequent physical examination were unremarkable, except for low blood pressure (97̸60 mmHg) and mild pallor of the palpebral conjunctiva. Laboratory data revealed mild anemia (hemoglobin, 10.2 g̸dl) and increased blood urea nitrogen (34.1 mg̸dl). Upper endoscopy revealed no hemorrhagic lesion of the duodenum, stomach, or esophagus. Colonoscopy revealed fresh blood with clotting discharged from the proximal side of the ileocecal valve; no hemorrhagic lesion of the colon or rectum was identified. Abdominal contrast-enhanced computed tomography (CT) revealed extravasation of the contrast medium into the small intestine (Fig. 1). The intestinal bleeding continued, and the patient eventually devel...

show abstract

Section: Discussionmentioning

confidence: 99%

Emergency surgery for hemorrhagic shock caused by a gastrointestinal stromal tumor of the ileum: A case report

Shimazaki

Tabuchi

Nishida

et al. 2016

Molecular and Clinical Oncology

View full text Add to dashboard Cite

show abstract

“…The indication criteria for LECS is SETs, regardless of the location, with a maximum diameter of 50 mm, according to the indications for laparoscopic resection of GISTs suggested by the National comprehensive Cancer Network (25) and Japanese guideline of GIST (26). In general, laparoscopic wedge resection for especially the extraluminal growth type gastric SETs can be performed easily, LECS is mainly performed for the intraluminal or intramural growth type SETs of the stomach.…”

Section: Setsmentioning

confidence: 99%

Laparoscopic and endoscopic cooperative surgery for gastrointestinal tumor

Niimi¹,

Ishibashi²,

Mitsui³

et al. 2017

Ann. Transl. Med.

View full text Add to dashboard Cite

With technological progress of endoscopic submucosal dissection (ESD) in the last decade, several laparoscopic and endoscopic cooperative surgeries (LECS) for gastrointestinal tumor have recently been developed.LECS is definitely favorable to the minimization of surgical margin, which leads to functional and anatomical preservation of gastrointestinal tract. LECS for gastrointestinal tumor is mainly sorted by two categories: exposure procedures and non-exposure procedures between endoluminal and extraluminal spaces. Exposure procedures have the potential risk of gastric contents or tumor cells spilling out over the abdominal cavity, because the stomach wall has to be perforated intentionally during the procedure. In order to avoid the potential these risks, nonexposure procedures have been developed. Currently, the LECS concept has rapidly permeated for treatment of gastrointestinal tumor due to its certainty and safety, although there is still room for improvement to lessen its technical difficulty. This review describes the current LECS for gastrointestinal tumor based on the several articles.

show abstract

“…Traditionally, large and complicated upper GI SETs are removed by either open or laparoscopic surgery ( 2,3 ). Endoscopic resection of upper GI SETs has been introduced in recent years because of the advancement in endoscopic techniques.…”

Section: Endoscopic Resection Vs Surgical Resectionmentioning

confidence: 99%

Editorial: Endoscopic Resection of Upper Gastrointestinal Subepithelial Tumors: Promising New Endoscopic Techniques—Are They Here to Stay?

Cai

2016

American Journal of Gastroenterology

View full text Add to dashboard Cite

Clinical practice guidelines for gastrointestinal stromal tumor (GIST) in Japan: English version

Cited by 314 publications

References 46 publications

Emergency surgery for hemorrhagic shock caused by a gastrointestinal stromal tumor of the ileum: A case report

Emergency surgery for hemorrhagic shock caused by a gastrointestinal stromal tumor of the ileum: A case report

Laparoscopic and endoscopic cooperative surgery for gastrointestinal tumor

Editorial: Endoscopic Resection of Upper Gastrointestinal Subepithelial Tumors: Promising New Endoscopic Techniques—Are They Here to Stay?

Contact Info

Product

Resources

About