Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
Use of a Jejunal Serosal Patch for Reconstruction after Partial Resection of a Duodenal Gastrointestinal Submucosal Tumor
Yuhi SuzukiYoshinori OnukiKousuke OishiTakashi UchiyamaOsamu KubotaYuichiro Shinmura
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2019 Volume 44 Issue 2 Pages 223-230

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Abstract

A 63-year-old female patient admitted to another hospital for generalized fatigue 2 months ago was referred to our hospital for further management after being diagnosed as having anemia. Examination revealed a submucosal tumor in the second portion of the duodenum, which was diagnosed as a duodenal GIST (gastrointestinal submucosal tumor). Partial resection of the duodenum was performed, with jejunal serosal patch used for the repair procedure. Histopathological examination of the resected specimen revealed a duodenal GIST. Gastrointestinal endoscopy performed 12 months after the operation showed scarring of the patched lesion. At 29 postoperative months, no signs of recurrence were observed, and the patient was in a favorable condition. We usually employ jejunal serosal patch repair in cases of duodenal trauma. This method appears to be useful and worthy of consideration also in patients with duodenal tumors.

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© 2019 Japanese College of Surgeons
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