A case report: endoscopic enucleation of gastrointestinal stromal tumor of the ampulla of Vater

Abstract

Endoscopic enucleation may be an alternative treatment for gastrointestinal stromal tumors of the ampulla of Vater for patients who fulfill certain requirements.

Gastrointestinal stromal tumor of the ampulla of Vater: A case report and literature review

“…The gold standard for treatment of STAV is surgical resection without rupture of the capsule [5] . If technically possible, local resection may be considered [6] , [7] . However, when the location of the lesion present challenge, a pancreatoduodenectomy should be performed for STAV [5] .…”

“… EUS (−) PD Low risk [1] 2014 M 1.6 US/MRI: no dilatation A 2 cm hypervascular lesion with a regular border lying between the head of the pancreas and the second part of the duodenum. No dilatation Endoscopic enucleation (−) Local resection Low risk [7] 2013 F 3.0 (−) Hypervascular Mass infiltrated the wall of the duodenum without obstruction of the lumen Endoscopy (−) PD Low risk [12] 2013 F 3.2 (−) A solid lesion in the pancreatic head. Neither biliary nor pancreatic duct dilatation was observed and no involvement of the nearby vasculature was noted Surgery (−) PD Low risk [4] 2012 M 7.6 (−) A mass in the duodenal second portion invading the pancreatic head and inferior vena cava EUS Invasion of pancreas and the inferior vena cava PD High risk [13] 2010 F 4.5 US: A 5 cm hypoechogenic image that had lobulated limits and contained central calcifications.…”

Gastrointestinal Stromal Tumor of the Ampulla of Vater: A Narrative Review

“…Other symptoms were abdominal pain in 6 and jaundice in 5 patients. Other rare gastrointestinal symptoms were also reported such as bloating [3] and weight loss [1] as the primary clinical presentation [3]. One of the patients was incidentally found during investigation and follow-up of gastric adenocarcinoma [4].…”

“…In only 1 case endoscopic mucosal dissection was done to resect the tumor [3]. In 1 case, duodenal sparing robotic resection has been performed [6].…”