Gastric Duplication Cyst and Its Management ( in the video description). скачать в хорошем качестве

Gastric Duplication Cyst and Its Management ( in the video description).

Accidentally discovered submucosal swelling in the Gastric body during upper endoscopy in a 30 years old male with dyspepsia, likely GIST, referred for EUS. It is anechoic lesion with faint posterior enhancement, no color flow signal inside, so we should consider Duplication cyst. FNA with 19 g needle revealed that mucoid material, cytopathological examination revealed positive mucin, mostly gastric duplication. Sometimes difficult to differentiate from leiomyoma or GIST. Prophylactic antibiotic was given. About the Management: GD can lead to severe adverse events, such as obstruction, torsion, perforation, hemorrhage, and malignant transformation. GDC with malignancy carry poor prognosis. Thus, surgical resection must be strongly suggested once the disease is confirmed. Most of GD are cystic duplications that doesn't communicate with the gastric lumen. Duplication of tubular type communicates with the stomach whereas cystic type does not . The surgical treatment must be chosen depending on its type, for cystic type of GD complete resection is mandatory. While the tubular type of duplications usually not require any intervention when both gastric lumens are patent. This link is helpful https://ojrd.biomedcentral.com/articl...