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Case Report: Intermediate-Risk Gastrointestinal Stromal Tumor (GIST) of the Jejunum with Postoperative Gastroparesis
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Faculty of Medicine, International University, Phnom Penh, Cambodia
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Faculty of Medicine, International University, Phnom Penh, Cambodia
Thoracoabdominal Surgery Department, Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Gastroenterology Department, Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 1 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 2 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 3 Faculty of Medicine, International University, Phnom Penh, Cambodia
- 4 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 5 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 6 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 7 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 8 Faculty of Medicine, International University, Phnom Penh, Cambodia
- 9 Thoracoabdominal Surgery Department, Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 10 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 11 Gastroenterology Department, Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 12 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 13 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
- 14 Faculty of Medicine, University of Health Sciences, Phnom Penh, Cambodia
Open Journal of Gastroenterology·Volume 16 (2026)·Pages 264–272·Published 22 July 2026·DOI10.4236/ojgas.2026.167027
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Abstract
We report a case of a 43-year-old female with a history of breast cancer who was diagnosed with an intermediate-risk gastrointestinal stromal tumor (GIST) of the jejunum. The patient underwent successful en bloc tumor resection with duodenojejunal anastomosis. She later developed postoperative gastroparesis, requiring gastrojejunostomy. This report highlights diagnostic challenges, surgical management, and postoperative complications in jejunal GIST.
KeywordsGastrointestinal Stromal TumorGISTJejunumGastroparesisGastrojejunostomyCase Report
- Joensuu, H., Hohenberger, P. and Corless, C.L. (2013) Gastrointestinal Stromal Tumour. The Lancet , 382, 973-983. https://doi.org/10.1016/s0140-6736(13)60106-3
- Casali, P.G., Blay, J.Y., Abecassis, N., Bajpai, J., Bauer, S., et al . (2022) Gastrointestinal Stromal Tumours: ESMO-EURACAN Clinical Practice Guidelines. Annals of Oncology , 33, 20-33.
- Miettinen, M. and Lasota, J. (2006) Gastrointestinal Stromal Tumors: Pathology and Prognosis at Different Sites. Seminars in Diagnostic Pathology , 23, 70-83. https://doi.org/10.1053/j.semdp.2006.09.001
- Wu, C.E., Tzen, C.Y., Wang, S.Y. and Yeh, C.N. (2019) Clinical Diagnosis of Gastrointestinal Stromal Tumor (GIST): From the Molecular Genetic Point of View. Cancers , 11, 679. https://doi.org/10.3390/cancers11050679
- DeMatteo, R.P., Lewis, J.J., Leung, D., Mudan, S.S., Woodruff, J.M. and Brennan, M.F. (2000) Two Hundred Gastrointestinal Stromal Tumors: Recurrence Patterns and Prognostic Factors. Annals of Surgery , 231, 51-58. https://doi.org/10.1097/00000658-200001000-00008
- Joensuu, H. (2008) Risk Stratification of Patients Diagnosed with Gastrointestinal Stromal Tumor. Human Pathology , 39, 1411-1419. https://doi.org/10.1016/j.humpath.2008.06.025
- Amin, M.B., Edge, S.B., Greene, F.L., et al . (2017) AJCC Cancer Staging Manual. 8th Edition, Springer.
- von Mehren, M., Kane, J.M., Riedel, R.F., et al . (2022) NCCN Guidelines Insights: Gastrointestinal Stromal Tumors, Version 2.2022. Journal of the National Comprehensive Cancer Network , 20, 1204-1214.
- Shafi, M.A. and Pasricha, P.J. (2007) Post-Surgical and Obstructive Gastroparesis. Current Gastroenterology Reports , 9, 280-285. https://doi.org/10.1007/s11894-007-0031-2
- Board, P.A.T.E. (2011) Gastrointestinal Stromal Tumors Treatment (PDQ®). In PDQ Cancer Information Summaries [Internet]. National Cancer Institute (US). https://www.ncbi.nlm.nih.gov/books/NBK65712/
- Joensuu, H., Eriksson, M., Sundby Hall, K., Hartmann, J.T., Pink, D., Schütte, J., et al . (2012) One vs Three Years of Adjuvant Imatinib for Operable Gastrointestinal Stromal Tumor. JAMA , 307, 1265-1272. https://doi.org/10.1001/jama.2012.347