Duodenal Gastrointestinal Stromal Tumor: A Rare Cause of Massive Upper GI Bleed managed with Segmental Resection of Duodenum

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ABSTRACT Duodenal gastrointestinal stromal tumors (GIST) are relatively rare tumors and account for less than 5% of all cases of GIST, but still represents approximately 30% of primary duodenal tumors. Surgery is the only curative approach for duodenal GIST, but the optimal surgical procedure for duodenal GIST is not yet established. At present, there are no established guidelines regarding management of duodenal GIST. Various procedures including pancreaticoduodenectomy, pancreas-sparing duodenectomy, segmental duodenectomy, or wedge local resection have been described, but oncologic outcomes have not been evaluated. Buchs et al evaluated the role of segmental duodenal resection in the management of duodenal GIST and concluded that segmental resection is adequate for localized tumor where negative resection margins are obtainable. Here we present a case of duodenal GIST with massive upper GI bleed which was treated with segmental resection of the duodenum. How to cite this article Umapathi L, Bagaria D, Attri V, Kaman L. Duodenal Gastrointestinal Stromal Tumor: A Rare Cause of Massive Upper GI Bleed managed with Segmental Resection of Duodenum. J Postgrad Med Edu Res 2014;48(3):148-150.

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