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KMID : 1033220210110030129
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Journal of Acute Care Surgery
2021 Volume.11 No. 3 p.129 ~ p.132
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A Case Report of a Bleeding Duodenal Gastro-Intestinal Stromal Tumor and its Emergent Management
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Pillay Yagan
Mabadeje Oladapo
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Abstract
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A gastrointestinal stromal tumor (GIST) arising in the duodenum is a rare subtype of mesenchymal tumor. GISTs have a reported incidence of 11.9?19.6 per million population and duodenal GISTs make up just 5% of these tumors. Common presentation of duodenal GISTs is through an upper gastrointestinal bleed, of which, they are responsible for less than 1% of all gastrointestinal bleeding. In an elective setting, surgical management remains the mainstay of treatment. In this Case Report, the emergent management of a localized duodenal resection was performed by an acute care surgeon, in an unstable patient. The risk factors for malignancy include tumor size and a high mitotic cell index. Tumor recurrence is determined by tumor size, tumor rupture, high mitotic cell index, a non-gastric location and gastrointestinal bleeding.
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KEYWORD
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bleeding, duodenum, gastrointestinal stromal, gastrointestinal neoplasms, tumors
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