A GIST day - Joy

Hello everyone, Well today was interesting. The challenge of the day was to operate on a patient who had presented with a significant gastrointestinal bleed. The GI service had confirmed the bleeding site as an ulcerated GIST tumor of the duodenum. We had the patient prepared for a pancreaticoduodenectomy if necessary. However, after exploration and performing a Kocher maneuver, we were able to identify the tumor in the 2nd portion of the duodenum and outline clear margins. We then performed a segmental resection with a transverse closure and only minimal luminal reduction. The operation went well and the patient had no intr-operative or immediate post-operative problems. Now to await the pathology and the mitotic count. What a Joy to be able to do such a useful operation for the patient. JTE.