A CASE OF A SMALL INTESTINAL GASTROINTESTINAL STROMAL TUMOR (GIST) WITH GASTROINTESTINAL BLEEDING THAT COULD BE MANAGED BY ENDOSCOPIC HEMOSTASIS

Abstract

A 62-year-old man with tarry stools was admitted to our hospital under the condition of loss of consciousness. We did not detect any bleeding source on upper gastrointestinal endoscopy ; therefore, we observed the duodenum to the jejunum near the ligament of Treitz using a colonoscope. We found a submucosal tumor with active bleeding at the jejunum near the ligament of Treitz, and successfully performed endoscopic hemostasis by using endoscopic clips. The tumor was later resected surgically and was diagnosed as a gastrointestinal stromal tumor (GIST). There are few reports of endoscopic hemostasis of small intestinal GISTs. We review the approach to endoscopic hemostasis of small intestinal GISTs.