Introduction: Despite evolving experience with laparoscopic resections of gastric gastrointestinal stromal tumors (GISTs), there are few data describing robotic resections. Here we describe the robotic removal of a gastric GIST using laparoscopic ultrasonography for tumor localization. Case Description: The patient is a 46-year-old African-American man with a biopsy-proven 3.5 3.5-cm GIST along...

W read with interest the recent report “Surgical images: soft tissue. Gastrointestinal stromal tumour of the stomach” (GIST) (Can J Surg 2005;48:237-8). The authors noted a submucosal mass on gastroscopy and performed a distal gastrectomy through a laparotomy. Although the woman undoubtedly tolerated the laparotomy, she may have been better served by a minimally invasive approach. In particular...

Minimally invasive surgery (MIS) reduces patient trauma and shortens recovery time, but also limits the dexterity of the surgeon because degrees of freedom are lost due to the fulcrum effect of the entry incisions. Visual feedback is also limited by the laparoscope, which typically provides two-dimensional feedback and is constrained by the entry incision. Developments within surgical robotics ...

INTRODUCTION Gastric lipomas are unusual benign lesions and account for less than 1% of all tumours of the stomach and 5% of all gastrointestinal lipomas (Thompson et al.2003; Fernandez et al. 1983 [1,2]). Although predominantly asymptomatic and indolent; they may present with gastric outlet obstruction and upper gastrointestinal (GI) bleeding owing to size and ulceration. Only a few cases have...

A 24-year-old patient with a background of paranoid schizophrenia presented to the emergency department with upper gastrointestinal bleeding. He admitted that because of recurring headaches he had been using ibuprofen for a few weeks preceding admission. Emergency endoscopy was performed and revealed several metallic foreign bodies covered with clots in the body of the stomach (●" Fig.1), and g...

A bezoar is an intraluminal mass formed by the accumulation of undigested material in the gastrointestinal tract. Trichobezoar is a rare condition seen almost exclusively in young women with trichotillomania and trichotillophagia. When not recognized, the trichobezoar continues to grow, which increases the risk of severe complications such as gastric ulceration and even perforation. Formation o...

PURPOSE We investigated late effects of caustic lye injury on esophageal smooth muscle reactivity in the rat model. MATERIALS AND METHODS Male Sprague-Dawley rats were divided into two groups. Through a median laparatomy incision, abdominal esophageal segment was isolated. Orogastric and gastric (via gastrotomy) catheters were placed and tied over the isolated esophageal segment. Saline (0.9%...

INTRODUCTION Trichotillomania and trichotillophagia can result in huge intraluminal coagulations of hair. Rarely, these can present with gastric perforation. This work has been reported in line with the SCARE criteria (Agha et al., 2016) [1]. PRESENTATION OF CASE We report the case of a 15 year old girl who attended the emergency department with abdominal pain and vomiting. Ultrasound abdomen...

PURPOSE Recently there has been increasing enthusiasm for performing simple abdominal procedures by transgastric surgery. We previously reported the usefulness of a combined transgastric and transvesical approach to cholecystectomy. In this study we assessed the feasibility of combined transgastric and transvesical approach for performing a more complex surgical procedure, such as nephrectomy, ...

A 6-year old girl was seen by local practitioner with complaints of fever. On routine examination a lump was palpable in the epigastric and the left hypochondriac regions. There were no associated symptoms like hematemesis, melena, abdominal pain, distension of abdomen or vomiting. There was no history of abnormal behavior. Her developmental history was appropriate for age. The patient had not ...