A clinical case of duodenal gastrointestinal stromal tumor with a peculiarity in the surgical approach.

摘要: We describe a case of duodenal, third portion, segmental resection for gastrointestinal stromal tumor. A 76-year-old man was referred bleeding, dyspnea and asthenia. Esophagogastroduodenoscopy showed duodenal bleeding fistula. Computerized tomography demonstrated retroperitoneal mass that compressed displaced forward the tract. Segmental portion duodenum with subtotal gastrectomy performed. The patient reconstructed termino-terminal anastomosis second fourth tract Roux-en-Y gastrojejunum anastomosis. There were no postoperative complications. This duodenectomy procedure could be useful as less extensive tumor located in when is well capsulated, surrounding structures are not infiltrated there vascular difficulties. technique reduces morbidity mortality correlated duodenocefalopancreasectomy improves postsurgical quality life without worsening risk recurrence.