MINIMALLY INVASIVE RESECTION OF GASTROESOPHAGEAL JUNCTION GASTROINTESTINAL STROMAL TUMOR (GIST) IN PATIENT WITH A LARGE PARAESOPHAGEAL HERNIA
Yara Samman*, Sarah Samreen
The University of Texas Medical Branch at Galveston School of Medicine, Galveston, TX
Gastrointestinal stromal tumors (GIST) are the most common mesenchymal neoplasms of the gastrointestinal tract with an annual incidence of 10-15 cases per million. Overall, they account for 0.1%-3.0% of all gastrointestinal tumors. GISTs take time to grow and become clinically expressed, therefore they are commonly an incidental finding. They appear throughout the gastrointestinal tract, however the most common site is the stomach followed by the small intestines, and rarely the rectum or esophagus. Gastroesophageal junction (GEJ) GISTs are extremely rare. We present a case of a unique resection, via DaVinci robot, of a GIST at the GEJ in a patient with type IV paraesophageal hernia.
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