A Case of Inverted LECS for GIST in the Remnant Stomach after Distal Gastrectomy

Megumi Watanabe, Masahiko Nishizaki, Ryuta Takenaka, Kensuke Takei, Yu Mikane, Ryohei Shoji, Tsuyoshi Okada, Katsuyuki Aoyama, Tomohiro Nogami, Hitoshi Nishikawa, Susumu Shinoura, Kaori Shigemitsu, Yasuyuki Nonaka, Dofu Hayashi

Research output: Contribution to journalArticlepeer-review


Laparoscopy and endoscopy cooperative surgery(LECS)is the surgical procedure used to avoid excessive resection of the gastrointestinal wall and preserve its function. We report the case of a patient who was successfully treated with inverted LECS for gastrointestinal stromal tumor(GIST)in the remnant stomach and underwent distal gastrectomy. The patient was a 75- year-old man who received distal gastrectomy for gastric ulcer 28 years before. Three years before he was diagnosed as having gastric submucosal tumor(SMT)as a gastrointestinal tumor(GIST)by using EUS. As the tumor increased, he was admitted to our hospital. Upper gastrointestinal endoscopy revealed a 30mm SMT just below the cardiac part of the remnant stomach. Biopsy by EUS-FNA revealed CD34(-), c-kit(+), S-100(-), and a-SMA(-), which indicated gastric GIST. Inverted LECS was performed. His postoperative course was good, and he was discharged from the hospital 9 days after the surgery.

Original languageEnglish
Pages (from-to)1954-1956
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Issue number13
Publication statusPublished - Dec 1 2019

ASJC Scopus subject areas

  • Medicine(all)


Dive into the research topics of 'A Case of Inverted LECS for GIST in the Remnant Stomach after Distal Gastrectomy'. Together they form a unique fingerprint.

Cite this