Gastric duplication cyst treated by endoscopic electrosurgical snare resection

Laparoscopically Resected Foregut Duplication Cyst (Bronchogenic) of the Stomach

“…In reviewing the reported gastric duplication cases, the presenting manifestations are usually nonspecific, as in our case, such as nausea, vomiting, weight loss, or an epigastric mass. As was seen in our case, the ulcer formations on the top of the protruding tumor of the stomach have been reported, in which the patients presented with gastrointestinal bleeding [9,10]. Other unusual complications include gastric outlet obstruction [11] and relapsing pancreatitis [12], and hemoptysis [13].…”

“…In this case, we chose a laparoscopic approach. Only five case reports in which laparoscopic resection are applied for the gastric duplication cysts in adults have been made in the English literature [9,[17][18][19]. However, even in the latest case report, the choice of the surgical approach-open surgery or laparoscopic surgery-remains controversial [32].…”

“…The therapeutic options range from an open resection or a laparoscopic resection [20,[28][29][30] to an endoscopic snare resection [9]. Although six cases of gastric cancer arising in duplications of the stomach were recently reviewed [31], their true malignant potential is still unclear.…”

Unusual case of massive hemorrhage of a gastric duplication cyst in a very advanced age

“…The treatment of gastric duplication cysts remains to be surgical resection [5,13]. Endoscopic excision may be an alternative to surgical intervention in selected patients in whom the gastric cyst presents as a gastric polyp [14]. Laparoscopic resection may be added as well to the surgical armamentarium in the treatment of alimentary tract duplications [15,16].…”

Image of the Month—Diagnosis

“…8 For smaller intraluminal lesions, an endoscopic approach with snare resection may be performed. 9 In our case, since the lesion was quite large and arose from the anterior mucosal wall, we deemed that it was not amenable to resection by conventional laparoscopic approaches. We therefore performed an exploratory laparotomy and exposed the cyst via an anterior gastrotomy.…”