Evidence map›Paper›PMID 42299236›Full record

ArticleCureus2026

Jejunal Gastrointestinal Stromal Tumor Presenting as Life-Threatening Melena and Profound Anemia: A Case Report.

Balakrishna Ravella, Eswar Chand Gadde, Harish Ravipati, Nestor Pamatmat

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In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Balakrishna RavellaInternal Medicine, OSF HealthCare St. Mary Medical Center, Galesburg, USA.
Eswar Chand GaddeInternal Medicine, Ascension St. John Hospital, Tulsa, USA.
Harish RavipatiInternal Medicine, Guthrie Cortland Medical Center, Cortland, USA.
Nestor PamatmatPathology, OSF HealthCare St. Mary Medical Center, Galesburg, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal stromal tumors (GISTs) are rare mesenchymal neoplasms and the most common sarcomas of the gastrointestinal tract. Small bowel GISTs, particularly jejunal tumors, frequently present with occult or overt bleeding leading to anemia, but are uncommon causes of melena when routine endoscopy has not been performed. We report a 67-year-old man who presented with one week of intermittent melena and profound anemia (hemoglobin 5.3 g/dL). Computed tomography (CT) angiography revealed a 5 cm jejunal mass without active bleeding. The patient underwent exploratory laparotomy with segmental resection and side-to-side anastomosis. Pathology confirmed a low-grade spindle cell GIST confined to the submucosa and muscularis propria, with strong diffuse CD117 and DOG1 positivity, scattered CD34 staining, and a Ki-67 index of ~3%. The patient recovered uneventfully with resolution of bleeding and normalization of hemoglobin. This case highlights the importance of considering small bowel GIST in unexplained melena and severe anemia and demonstrates the curative potential of timely surgical resection in localized low-risk disease.

Indexed as

gastrointestinal stromal tumorjejunal gistmelenasevere anemiasmall bowel bleedingsurgical resection

Identifiers

PMID42299236
PMCPMC13265028

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.