NCT04344847

Incidental Finding of Gastrointestinal Stromal Tumors (GISTs) During Laparoscopic Sleeve Gastrectomy, How to Deal? How Much Safety Margin

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 338 (estimated)
• Sponsor: Bassem Mohamed Sieda · Other Government
• Sex: All
• Age: 21 Years – 42 Years
• Healthy volunteers: Not accepted

Summary

LSG is thought to be the best choice for obese patients with conincidental GISTs, as a tumour can be resected along with resecting the stomach within the same procedure. The primary endpoint is that, how much does GIST suppose to be far from a staple line to do safe laparoscopic sleeve gastrectomy

Detailed description

The incidence of unsuspected GIST in LSG specimens in our series was high in comparison to cases reported in the literature. GISTs could be safely removed laparoscopically during LSG surgery with negative microscopic resection margins, with 1-2cm safety margin. Margins less than 1cm, high mitotic rate are adverse prognostic factors. Examining the whole stomach before resection is mandatory and can easily be done during LSG, GIST can be removed safely with LSG

Conditions

• Excision Margin

Interventions

Type	Name	Description
PROCEDURE	Laparoscopic sleeve gastrectomy	Excision of Gastric GIST along fundus or body of stomach in the same specimen of LSG with safety margin 1-2cm

Timeline

• Start date: 2016-12-12
• Primary completion: 2020-05-13
• Completion: 2020-06-12
• First posted: 2020-04-14
• Last updated: 2020-04-14

Locations

1 site across 1 country: Saudi Arabia