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Robot-assisted laparoscopic gastrectomy for Menetrier's disease.
Omaira Rodríguez Gonzalez1,2, Rosciano José3, Jara Génesis3
1Robotic Surgery Program Medicine Faculty, Central University of Venezuela, University Hospital of Caracas, Caracas, Venezuela. omaira.rodriguez@cirugiaavanzada.net.
Journal of Robotic Surgery
|November 5, 2015
Summary
Menetrier
Area of Science:
- Gastroenterology and Surgical Oncology
Background:
- Menetrier's disease (hypoproteinemic hypertrophic gastropathy) is a rare condition causing gastric hypertrophy and architectural changes.
- It presents with symptoms like epigastric pain, oral intolerance, and weight loss.
Observation:
- A 65-year-old female presented with progressive epigastric pain, oral intolerance, and weight loss.
- Endoscopy revealed prominent gastric folds and antral-pyloric stenosis.
- Biopsy showed foveolar hyperplasia and glandular changes consistent with Menetrier's disease.
Findings:
- Abdominopelvic CT demonstrated gastric dilation and wall thickening.
- The patient underwent successful robot-assisted total gastrectomy with esophagojejunostomy.
- Postoperative recovery was satisfactory, with discharge on day eight.
Implications:
- Robot-assisted laparoscopic gastrectomy is a safe and feasible surgical approach for complex cases.
- This case highlights successful management of a rare gastrointestinal disorder.
- Highlights the utility of advanced surgical techniques in treating Menetrier's disease.
