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Updated: Jun 16, 2026
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Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Gastric carcinoid presented as gastric outlet obstruction
Ashok Yadavrao Kshirsagar1, Jyotsna Wader, Neeraj Shekhar
1Department of Surgery and Pathology, Krishna Institute of Medical Sciences, Karad, Maharashtra, India. drayk@indiatimes.com
International Surgery
|January 21, 2010
Summary
Gastric carcinoid tumors, rare neuroendocrine tumors, are best diagnosed via endoscopic biopsy. Early resection offers a 100% 5-year survival for small, noninvasive tumors, but prognosis worsens with size and spread.
Area of Science:
- Gastroenterology
- Oncology
- Pathology
Background:
- Carcinoid tumors are neuroendocrine (amine precursor uptake and decarboxylation - APUD) cell tumors originating from the entero-chromaffin system.
- They are found throughout the gastrointestinal tract, with a predilection for the ileum, but are rare in the stomach (2% of gastric tumors).
Observation:
- Gastric carcinoid tumors are uncommon, representing a small fraction of both gastric neoplasms and overall carcinoid tumors.
- Diagnostic methods include imaging (ultrasonography, CT, MRI) for localization, but endoscopic biopsy is essential for definitive diagnosis.
- Microscopic identification of neurosecretory granules is the most specific diagnostic feature.
Findings:
- Early surgical resection is the primary treatment modality.
- Noninvasive tumors less than 2 cm in size have a 100% 5-year survival rate.
- Prognosis significantly declines with increasing tumor size, serosal involvement, perineural invasion, and lymph node metastasis.
Implications:
- Timely diagnosis and surgical intervention are crucial for favorable outcomes in gastric carcinoid patients.
- Understanding prognostic factors aids in patient management and treatment planning.
- Further research into the specific characteristics and optimal management of rare gastric neuroendocrine tumors is warranted.
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