By, Dr Harsh ShethBariatric Surgeon in Mumbai

I. OVERVIEW

GISTs (gastrointestinal stromal tumors) are soft tissue development that can occur anywhere in the digestive tract. The stomach and small intestine are the most typical areas.

Small GISTs may not cause symptoms and develop at such a sluggish rate that they have no significant consequences. People with bigger GISTs generally seek medical help when they puke or pass blood in their feces due to the tumor’s fast bleeding.

As one of the best laparoscopic and gastrointestinal surgeons in Mumbai, Dr. Harsh Sheth has successfully conducted a range of bariatric surgery in Mumbai for more than ten years. So, in this case, the patient was totally in the safest hands.

II. Doctor Name

Dr. Harsh Sheth

III. Patient Details

Name: Unknown

Age: 72 years

Gender: Unknown

IV. Symptoms

Pain in the upper abdomen, bloating after eating meals.

V. Test Performed

  • CT scan of the abdomen, reveling an exophytic lesion along the greater curvature of the stomach, measuring approximately 4.53 cm in size.
  • Upper GI endoscopy revealing an intra-mucosal extension of the exophytic lesion, possibly representing a dumbbell-shaped tumor on the greater curvature of the stomach. Tumour is approximately 4 cm from the GE junction.

VI. Diagnosis

A gastrointestinal stromal tumor (GIST)

VII. Treatment

Laparoscopic excision of gastric GIST

VIII. Description of the Treatment

The patient presented with non-specific symptoms of dyspepsia, which on further investigation, were attributed to a tumor in the stomach. The nature of the tumor was such that it needed excision.

Considering the patient’s old age and possible inability to tolerate open surgery, Dr. Harsh Sheth prescribed the patient an option for laparoscopic excision of the GIST.

After complete workup, the patient was operated on under general anesthesia by laparoscopy (keyhole surgery) using just four holes to perform the surgery. A laparoscopic partial gastrectomy using an advanced laparoscopic stapling technique was performed.

The surgery took 80 minutes, and blood loss during the surgery was less than 10 ml. The patient tolerated the surgery well and was put on a liquid diet on the first post-operative day and discharged. She is doing well at her three-month follow-up.

IX. Post Treatment Guidelines

Gradual increase in diet consistency from liquids to semi-solid to solid diet over a week. The patient was also suggested to avoid lifting heavy weights more than 5 kg for at least three months post-surgery.

X. Feedback

We were scared of surgical treatment for this tumor. However, we are glad that we came to Dr. Harsh Sheth, and the tumor was removed effortlessly. My mother’s recovery was excellent, with no post-operative problems. She was able to stand on her feet on the day of surgery and was started on liquids on the first day after surgery. Overall a remarkably satisfying experience.