ArticleCureus2026
Organ-Preserving Gastric Wedge Resection for a Giant Posterior Gastric Gastrointestinal Stromal Tumor: A Case Report.
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.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the gastrointestinal tract, with the stomach representing the predominant site of origin. Although complete surgical resection remains the standard treatment for localized disease, the management of giant gastric GISTs can be challenging because of their size, anatomical relationships, and the risk of tumor rupture during surgery. We report the successful organ-preserving resection of a giant posterior gastric GIST using a wedge resection technique. A 49-year-old woman presented with a two-year history of abdominal pain, postprandial discomfort, abdominal distension, nausea, and vomiting. Contrast-enhanced computed tomography revealed a large lobulated mass measuring 14.0 × 12.0 × 11.0 cm, closely associated with the stomach. Endoscopic ultrasound demonstrated a heterogeneous hypoechoic lesion originating from the muscularis propria, and fine-needle aspiration findings were consistent with GIST. Exploratory laparotomy through a midline incision identified a giant exophytic tumor arising from the posterior gastric wall without evidence of metastatic disease or adjacent organ invasion. Complete resection was achieved by gastric wedge resection using a 75-mm linear stapler, avoiding formal gastrectomy. The operative time was 120 minutes, estimated blood loss was 100 mL, and no intraoperative complications occurred. The patient was discharged on postoperative day 3. Histopathological examination demonstrated an 11.1 × 10.8 × 8.5 cm spindle-cell GIST positive for CD117 and DOG1, with low mitotic activity, negative surgical margins, and pathological stage pT4. According to the modified NIH (Joensuu) risk stratification criteria, the tumor was classified as having a moderate risk of recurrence. Giant posterior gastric GISTs can be safely managed with organ-preserving wedge resection when complete oncologic excision is feasible. Careful surgical planning and meticulous handling to avoid tumor rupture may allow excellent short-term outcomes while preserving gastric anatomy and function.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.