BACKGROUND: Gastrointestinal stromal tumors (GISTs) occur throughout the gastrointestinal tract. Resection is a principal component of treatment. Arguments support anatomical resection over wedge resection. This is a case study of a GIST resection.
METHODS: A 70 year old male with multiple medical co-morbidities presents with melena. A video was created from operative footage and pre-operative and post-operative studies.
RESULTS: Wedge resection of a large gastric cardia GIST was performed. The patient’s course was unremarkable.
CONCLUSION: In the gastric cardia, a non-anatomical resection is safe and potentially favored to a proximal gastrectomy in a high risk patient.