Duodenal GIST and Chilaiditi Syndrome
Keywords:
gastrointestinal neoplasms, gastrointestinal stromal tumors, digestive system surgical procedures, duodenum.Abstract
ABSTRACTGastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors in the gastrointestinal tract. They arising from interstitial cells of Cajal. Can affect any gastrointestinal segment, predominantly in the stomach and jejunum, however the duodenum is a rare location, occurring in about 3% to 5% of patients affected by GIST. About 10% - 30% of GIST are completely asymptomatic, discovered incidentally during the endoscopic, radiologic diagnostics as well as during surgical interventions performed for various reasons. If present, the clinical symptoms are non-specific and include: abdominal pain, early satiety, flatulence, prolonged gastrointestinal bleeding, anemia of unknown origin, weight loss, vomiting, acute abdomen. On Computed Tomography which is considered as the reference technique, GISTs typically present as large, well delineated, heterogeneous and sometimes exophytic masses. For its treatment, it is recommended surgical excision.
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