Gastric schwannoma with post-surgical gastroparesis: a case report and literature review
Gastric schwannoma is a relatively rare submucosal mesenchymal tumor with low probability of metastasis and arises from Schwann cells of the gastrointestinal nervous plexus. Surgical therapy is the main treatment of gastric schwannoma with symptoms or malignant tendency. Gastroparesis is a potential...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2024.1496074/full |
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| author | Ganggang Miao Ganggang Miao De Zhang Jiajing Li Yanxiang Deng Xingwei Gu Tingting Feng |
| author_facet | Ganggang Miao Ganggang Miao De Zhang Jiajing Li Yanxiang Deng Xingwei Gu Tingting Feng |
| author_sort | Ganggang Miao |
| collection | DOAJ |
| description | Gastric schwannoma is a relatively rare submucosal mesenchymal tumor with low probability of metastasis and arises from Schwann cells of the gastrointestinal nervous plexus. Surgical therapy is the main treatment of gastric schwannoma with symptoms or malignant tendency. Gastroparesis is a potential complication following gastrointestinal surgery, which is a clinical syndrome caused by gastric emptying disorder and characterized by nausea, vomiting, and bloating, resulting in insufficient nutrient intake. Generally, post-surgical etiology is the main potential etiology of gastroparesis, while the most common underlying etiology is diabetes mellitus. So far, reports of gastroparesis arising from resection of gastric schwannoma are rare. We present an 80-year-old woman who was diagnosed with gastrointestinal stromal tumor (GIST) primarily and has undergone laparoscopic wedge-shaped gastrectomy. The pathological and immunohistochemical examination ultimately established the diagnosis of gastric schwannoma. The patient experienced belching, nausea, vomiting, and bloating 1 week after the surgery and confirmed as gastroparesis through gastrointestinal series and gastroscopic examination. A series of treatments were performed, including correcting fluid-electrolyte disorders and vitamin deficiencies, and nutritional support and pharmacological treatments. The patient ultimately recovered well, and the relevant literatures were reviewed to identify and handle similar cases hereafter. |
| format | Article |
| id | doaj-art-010a076847824b808af8dec560235e1c |
| institution | Kabale University |
| issn | 2234-943X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj-art-010a076847824b808af8dec560235e1c2025-01-13T06:11:11ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.14960741496074Gastric schwannoma with post-surgical gastroparesis: a case report and literature reviewGanggang Miao0Ganggang Miao1De Zhang2Jiajing Li3Yanxiang Deng4Xingwei Gu5Tingting Feng6Department of General Surgery, The People’s Hospital of Danyang, Affiliated Danyang Hospital of Nantong University, Danyang, Jiangsu, ChinaDepartment of General Surgery, The Affiliated Nanjing Hospital of Nanjing Medical University, Nanjing, Jiangsu, ChinaDepartment of General Surgery, The People’s Hospital of Danyang, Affiliated Danyang Hospital of Nantong University, Danyang, Jiangsu, ChinaSchool of Clinical Medicine, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of General Surgery, The People’s Hospital of Danyang, Affiliated Danyang Hospital of Nantong University, Danyang, Jiangsu, ChinaDepartment of General Surgery, The People’s Hospital of Danyang, Affiliated Danyang Hospital of Nantong University, Danyang, Jiangsu, ChinaCentral Laboratory, The Fourth Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, ChinaGastric schwannoma is a relatively rare submucosal mesenchymal tumor with low probability of metastasis and arises from Schwann cells of the gastrointestinal nervous plexus. Surgical therapy is the main treatment of gastric schwannoma with symptoms or malignant tendency. Gastroparesis is a potential complication following gastrointestinal surgery, which is a clinical syndrome caused by gastric emptying disorder and characterized by nausea, vomiting, and bloating, resulting in insufficient nutrient intake. Generally, post-surgical etiology is the main potential etiology of gastroparesis, while the most common underlying etiology is diabetes mellitus. So far, reports of gastroparesis arising from resection of gastric schwannoma are rare. We present an 80-year-old woman who was diagnosed with gastrointestinal stromal tumor (GIST) primarily and has undergone laparoscopic wedge-shaped gastrectomy. The pathological and immunohistochemical examination ultimately established the diagnosis of gastric schwannoma. The patient experienced belching, nausea, vomiting, and bloating 1 week after the surgery and confirmed as gastroparesis through gastrointestinal series and gastroscopic examination. A series of treatments were performed, including correcting fluid-electrolyte disorders and vitamin deficiencies, and nutritional support and pharmacological treatments. The patient ultimately recovered well, and the relevant literatures were reviewed to identify and handle similar cases hereafter.https://www.frontiersin.org/articles/10.3389/fonc.2024.1496074/fullgastric schwannomasurgical therapypost-surgical gastroparesismanagement of gastroparesistherapeutic methods |
| spellingShingle | Ganggang Miao Ganggang Miao De Zhang Jiajing Li Yanxiang Deng Xingwei Gu Tingting Feng Gastric schwannoma with post-surgical gastroparesis: a case report and literature review Frontiers in Oncology gastric schwannoma surgical therapy post-surgical gastroparesis management of gastroparesis therapeutic methods |
| title | Gastric schwannoma with post-surgical gastroparesis: a case report and literature review |
| title_full | Gastric schwannoma with post-surgical gastroparesis: a case report and literature review |
| title_fullStr | Gastric schwannoma with post-surgical gastroparesis: a case report and literature review |
| title_full_unstemmed | Gastric schwannoma with post-surgical gastroparesis: a case report and literature review |
| title_short | Gastric schwannoma with post-surgical gastroparesis: a case report and literature review |
| title_sort | gastric schwannoma with post surgical gastroparesis a case report and literature review |
| topic | gastric schwannoma surgical therapy post-surgical gastroparesis management of gastroparesis therapeutic methods |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2024.1496074/full |
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