Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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Laparoscopic Gastric Wedge Resection and Prophylactic Antireflux Surgery for a Submucosal Tumor of Gastroesophageal Junction

  • Lee, Jeong-Sun (Department of Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, School of Medicine) ;
  • Kim, Jin-Jo (Department of Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, School of Medicine) ;
  • Park, Seung-Man (Department of Surgery, Incheon St. Mary's Hospital, The Catholic University of Korea, School of Medicine)
  • Received : 2011.06.01
  • Accepted : 2011.06.13
  • Published : 2011.06.30
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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.

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References

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