{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:23:05Z","timestamp":1790691785603,"version":"4.1.0"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2021,12,15]],"date-time":"2021-12-15T00:00:00Z","timestamp":1639526400000},"content-version":"vor","delay-in-days":75,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the gastrointestinal (GI) tract. Their primary treatment is surgical.<\/jats:p><jats:p>\n          Case Report\u2003Here we report a case of a 36-year-old male patient who was being evaluated for weakness, anemia, and melena. Upper GI endoscopy showed a mass projecting into the lumen and an abdominal computed tomography (CT) confirmed a well-defined mass close to the lesser curvature on the posterior wall. An endoscopic ultrasound-guided fine needle aspiration suggested a diagnosis of GIST. After optimization, the patient was taken up for a laparoscopic transgastric resection of the GIST. The resected specimen measured 9.5\u2009\u00d7\u20098.5\u2009\u00d7\u20097.5\u2009cm. Postoperatively, the patient recovered well and was discharged by the fifth postoperative day.<\/jats:p><jats:p>\n          Discussion\u2003While traditionally, open surgery has been advocated for GISTs, for fear of spillage and peritoneal seeding, the role of minimal access surgery has been growing in recent years. The use of a transgastric approach avoids the potential complication of luminal stenosis following a wedge resection of a tumor close to the cardia. Because lymphadenectomies are rarely required and local invasion is uncommon, a wide local resection is usually curative. Thus, a laparoscopic approach can be considered as the first line in uncomplicated GISTs, irrespective of tumor size.<\/jats:p>","DOI":"10.1055\/s-0041-1739116","type":"journal-article","created":{"date-parts":[[2021,12,16]],"date-time":"2021-12-16T00:35:19Z","timestamp":1639614919000},"page":"e337-e341","source":"Crossref","is-referenced-by-count":11,"title":["Laparoscopic Transgastric Resection of a Large Gastric GIST: A Case Report and Review of Literature"],"prefix":"10.1055","volume":"07","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5120-3356","authenticated-orcid":false,"given":"Eham","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3694-0742","authenticated-orcid":false,"given":"Jaini","family":"Gala","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya","family":"Nanavati","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Transplant Surgery, Jupiter Hospital, Thane, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Patil","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Bhandarwar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,12,15]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.canep.2015.10.031","article-title":"Global epidemiology of gastrointestinal stromal tumours (GIST): A systematic review of population-based cohort studies","volume":"40","author":"K S\u00f8reide","year":"2016","journal-title":"Cancer Epidemiol"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1001\/archsurg.143.6.587","article-title":"Laparoscopic gastric gastrointestinal stromal tumor resection: the mayo clinic experience","volume":"143","author":"K L Huguet","year":"2008","journal-title":"Arch Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1093\/annonc\/mdi127","article-title":"GIST consensus meeting panelists (2005) Consensus Meeting for the Management of Gastrointestinal Stromal Tumors","volume":"16","author":"J Y Blay","year":"2005","journal-title":"Ann Oncol"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1097\/01.sla.0000219739.11758.27","article-title":"Long-term outcomes of laparoscopic resection of gastric gastrointestinal stromal tumors","volume":"243","author":"Y W Novitsky","year":"2006","journal-title":"Ann Surg"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1053\/hupa.2002.123545","article-title":"Diagnosis of gastrointestinal stromal tumors: A consensus approach","volume":"33","author":"C DM Fletcher","year":"2002","journal-title":"Hum Pathol"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.jamcollsurg.2012.05.008","article-title":"Microscopically positive margins for primary gastrointestinal stromal tumors: analysis of risk factors and tumor recurrence","volume":"215","author":"M D McCarter","year":"2012","journal-title":"J Am Coll Surg"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/00000658-200001000-00008","article-title":"Two hundred gastrointestinal stromal tumors: recurrence patterns and prognostic factors for survival","volume":"231","author":"R P DeMatteo","year":"2000","journal-title":"Ann Surg"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"e0177193","DOI":"10.1371\/journal.pone.0177193","article-title":"Meta-analysis of laparoscopic vs. open resection of gastric gastrointestinal stromal tumors","volume":"12","author":"L Ye","year":"2017","journal-title":"PLoS One"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"48","DOI":"10.4251\/wjgo.v10.i1.48","article-title":"Comparison between laparoscopic and open surgery for large gastrointestinal stromal tumors: A meta-analysis","volume":"10","author":"J X Cui","year":"2018","journal-title":"World J Gastrointest Oncol"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1739116.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,16]],"date-time":"2021-12-16T00:37:00Z","timestamp":1639615020000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1739116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":9,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2021,10,5]]},"published-print":{"date-parts":[[2021,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1739116","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"value":"2378-5128","type":"print"},{"value":"2378-5136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}