Laparoscopic Transgastric Resection of a Large Intussuscepted Gastric Polyp
Etienne Auger-Dufour*, Liane S. Feldman, Gerald M. Fried, Lorenzo E. Ferri
Surgery, McGill University Health Centre, Montreal, QC, Canada
An 89-year-old female patient presented with melena, intermittent vomiting and anemia. A large pedunculated hyperplastic polyp is found in the proximal part of the stomach body. Its long stalk containing gastric wall extends across the pylorus into the duodenum. Preoperative studies are shown. It was decided to approach this patient surgically as snare polypectomy was felt unsafe. Laparoscopy: the polyp is located under intraoperative endoscopic guidance. An anterior longitudinal gastrotomy is made. The polyp is exteriorized on its stalk into the peritoneal cavity and resected with a linear stapler. The stomach closure is performed. Postop evolution is described.
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