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Laparoscopic Management of Polypoidal Lesions of the Stomach
Table 1: Workup and management in our four patients
Workup In three patients (2M, 1F) In one patient (1M)
1 OGD scopy findings 3–3.5, 4, and 4.5 cm single sessile polyp arising Large, single, mobile, pendunculated polyp in
(Fig. 1) from the fundus and proximal body near antrum with thick stalk in mid-body, prolapsing into
greater curvature of the stomach in three patients part 1 of duodenum causing intermittent gastric outlet
respectively obstruction, with solid food residue in fundus and body
2 Biopsy report Gastric submucosal lesion? GIST in all three patients Tubulovillous type of adenomatous polyp
3 CT scan findings (Fig. 2) Single, soft tissue attenuating lesion of respec- An enhancing polypoidal mass in the gastric antrum,
tive dimensions arising in fundus and proximal extending and prolapsing into the proximal duode-
body near greater curvature of the stomach num, 7.8 × 4 cm, without calcifications, necrosis within.
with no evidence of LNs or surrounding tissue Adjoining fat planes well maintained with no evidence
involvement of perigastric adenopathy. The stomach distended with
food residue
4 Surgical procedure Laparoscopic wedge resection of the stomach Laparoscopic anterior wall gastrotomy with
undertaken using linear stapler polypectomy
5 Final histopathological Gastric GIST in all three patients Adenomatous polyp with no evidence of malignancy
examination (HPE) (Fig. 3)
report

Figs 1A to G: Preoperative esophagogastroduodenoscopy (OGD scopy) pictures

112 World Journal of Laparoscopic Surgery, Volume 11 Issue 3 (September–December 2018)