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Updated: Apr 21, 2026

Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors
Published on: February 19, 2022
[Severe lower gastrointestinal bleeding due to GIST tumor. Radiological embolization and surgery]
Diana Navas1, Antonio Ríos1, Beatriz Febrero1
1Servicio de Cirugía General y del Aparato Digestivo, CIBEREHD (Centro de Investigación Biomédica en Red en el Área temática de Enfermedades Hepáticas y Digestivas). IMIB (Instituto Murciano de Investigaciones Sanitarias), Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain.
Background:
Gastrointestinal stromal tumors (GIST) were identified only recently. These tumors usually have no symptoms, although they are localized, operable and curable. Although rare, if they are not diagnosed and treated early, they become very aggressive. The most common manifestation is gastrointestinal bleeding from mucosal erosion. Their presentation as severe lower gastrointestinal bleeding is exceptional.
Clinical Case:
We report a patient with severe lower gastrointestinal bleeding stabilized by interventional radiology that subsequently required surgery for definitive care.
Conclusions:
Therapeutic use of radiological embolization is increasingly widespread in bleeding at various levels, achieving hemodynamic stabilization of patients. However, it must be kept in mind that, in cases of unknown etiology of lower gastrointestinal bleeding, possible causes must be investigated.
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