Duodenal GIST and Chilaiditi Syndrome

Authors

  • Eduardo Alexandre Souza Góis Universidade Federal de Minas Gerais
  • Moana Machado Barbosa
  • Marcilea Silva Santos

Keywords:

gastrointestinal neoplasms, gastrointestinal stromal tumors, digestive system surgical procedures, duodenum.

Abstract

ABSTRACT
Gastrointestinal 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. 

Downloads

Download data is not yet available.

Author Biographies

Eduardo Alexandre Souza Góis, Universidade Federal de Minas Gerais

Residente em Cirurgia Geral UFMG

Moana Machado Barbosa

Médica Emergencista

Marcilea Silva Santos

Médica Emergencista

References

Cichoż‑Lach H, Kasztelan‑Szczerbińska B, Stomka M. Gastrointestinal tumors: epidemiology, clinical Picture, diagnosis, prognosis and treatment. Polskie Archiwum Medycyny Wewnetrznej. 2008;118(4):216-20.

Valadão M, Linhares E, Monteiro M, Fernandes DS, Vidal EI, Saraiva CS, et al. Perfil dos portadores de GIST operados no Estado do Rio de Janeiro: Estudo multicêntrico SBCO. Rev Bras Cancerol. 2009;55(2):145-9.

Van Everdingen KJ, Feldberg MA. Diagnostic image Chilaiditi syndrome. Ned Tijdschr Geneeskd. 2001;145(42):20-6.

Matthews J, Beck GW, Bowley DM. Chilaiditi syndrome and recurrent colonic volvulus. Rev Nav Med Serv. 2001;87(2):111-2.

Altomare DF, Rinaldi M, Petrolino M, Sallustio PL, Guglielmi A, Pannarale OC, Chilaiditi´s syndrome. Successful surgical correction by colopexy. Tech Coloproctol. 2001;5:173-5.

White JJ, Chavez EP, Souza J. Internal hernia of the transverse colon Chilaiditi syndrome in a child. J Pediatr Surg. 2002;37(5):802-4.

Manzur MT, Clark HB. Gastric stromal tumors. Reappraisal of histogenesis. Am J Surg Pathol. 1983;7:507-19.

Oliveira RPB, Pannain VL, Portari Filho PE, Salomão AR, Iglesias AC, Oliveira CAB. Tumor estromal gastrointestinal: análise de fatores relacionados ao prognóstico. Rev Col Bras Cir. 2007;34(6):374-80.

Mennigen R, Wolters HH, Schulte B, Pelster FW. Segmental resection of the duodenum for gastrointestinal stromal tumor (GIST). World J Surg Oncol. 2008;105(6):1-6.

Salazar LIF, Gago TA, Rubiales AS, Jiménez BV, De La Fuente RA, Hernández JMG. Tumores de la estroma gastrointestinal (GISTS): aspectos clínicos. Rev Esp Enferm Dig. 2007;99:19-24.

Neves LRO, Oshima CTF, Artigiani-Neto R, Yanaguibashi G, Lourenço LG, Forones NM. Ki67 and p53 in gastrointestinal stromal tumors – GIST. Arq Gastroenterol. 2009;46(2):116-20.

Joensuu H. Gastrointestinal stromal tumor (GIST). Ann Oncol. 2006;17(10):280-6.

Miettinen M, Kopczynski J, Makhlouf HR, Sarlomo-Rikala M, Gyorffy H, Burke A, et al. Gastrointestinal stromal tumors, intramural leiomyomas, and leiomyosarcomas in the duodenum: a clinicopathologic, immunohistochemical, and molecular genetic study of 167 cases. Am J Surg Pathol. 2003;27:625-41.

Fujimoto Y, Nakanishi Y, Yoshimura K, Shimoda T. Clinicopathologic study of primary malignant gastrointestinal stromal tumor of the stomach, with special reference to prognostic factors: analysis of results in 140 surgically resected patients. Gastric Cancer. 2003;6:39-48.

Uehara K, Hasegawa H, Ogiso S, Sakamoto E, Shibahara H, Igami T. Gastrointestinal stromal tumor of the duodenum: diagnosis and treatment. Geka. 2001;63:1058-61.

Downloads

Additional Files

Published

2014-04-01

How to Cite

1.
Góis EAS, Barbosa MM, Santos MS. Duodenal GIST and Chilaiditi Syndrome. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2014Apr.1 [cited 2025Mar.13];16(1):40-2. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/11366

Issue

Vol. 16 No. 1 (2014)

Section

Case Report

License

Os autores no momento da submissão transferem os direitos autorais, assim, os manuscritos publicados passam a ser propriedade da revista.

O conteúdo do periódico está licenciado sob uma Licença Creative Commons 4.0, esta licença permite o livre acesso imediato ao trabalho e que qualquer usuário leia, baixe, copie, distribua, imprima, pesquise ou vincule aos textos completos dos artigos, rastreando-os para indexação, passá-los como dados para o software, ou usá-los para qualquer outra finalidade legal.