2012
DOI: 10.1016/j.ajg.2012.08.005
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Jejunal GIST causing acute massive gastrointestinal bleeding: Role of multidetector row helical CT in the preoperative diagnosis and management

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Cited by 17 publications
(17 citation statements)
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“…Retrospectively, we realized and assumed that the magnitude of bleed may depend upon the location along mesenteric border with direct mesenteric feeding vessels. Stromal collagen is minimal in most GISTs, but delicate, thin-walled vessels may be prominent, making stromal haemorrhage a common feature of these tumours [13]…”
Section: Discussionmentioning
confidence: 99%
“…Retrospectively, we realized and assumed that the magnitude of bleed may depend upon the location along mesenteric border with direct mesenteric feeding vessels. Stromal collagen is minimal in most GISTs, but delicate, thin-walled vessels may be prominent, making stromal haemorrhage a common feature of these tumours [13]…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, excision of nearby adjacent organs so that to avoid rupture of the capsule and hence spillage into the abdominal cavity should be kept in mind. These tumors have no tendency to metastasize to lymph nodes, making lymphadenectomy no necessary (8). The role of mini invasive surgery such as laparoscopic approach in GIST resections continue to expand with the bases of traditional open surgery being utilized also in laparoscopic surgery.…”
Section: Discussionmentioning
confidence: 99%
“…Failure to visualize small intestine by endoscopic procedures, tendency of the lesion to demonstrate exophytic extension, and limitations in the evaluation of small intestine by CT under emergency conditions have an impact on the difficulty of the diagnosis [ 6 , 7 ]. GISTs causing bleeding have been described in the literature [ 8 , 9 ]. Our case also had occult bleeding; he had been referred to hospitals for many times with the symptoms of anemia; he had been repeatedly examined and tested but no diagnosis could be achieved.…”
Section: Discussionmentioning
confidence: 99%