Can Incidental Gastric GISTs During Bariatric Surgeries Change the Primary Plan of Surgery? A Single Team Experience and a Systematic Review of Literature

Ahmed Abokhozima; Mohamed H Zidan; Hashem Altabbaa; Ahmed Abo Elmagd; Mohammed Alokl; Fatmaelzahraa Fathy; Ahmed Amgad; Osama Al Shaqran; Mahmoud Hammad Eissa; Aliaa Selim

doi:10.1007/s11695-024-07224-2

Can Incidental Gastric GISTs During Bariatric Surgeries Change the Primary Plan of Surgery? A Single Team Experience and a Systematic Review of Literature

Obes Surg. 2024 Apr 30. doi: 10.1007/s11695-024-07224-2. Online ahead of print.

Authors

Ahmed Abokhozima^{1

2}, Mohamed H Zidan^{3

4

5}, Hashem Altabbaa¹, Ahmed Abo Elmagd^{6

1

2}, Mohammed Alokl^{1

2}, Fatmaelzahraa Fathy¹, Ahmed Amgad⁷, Osama Al Shaqran¹, Mahmoud Hammad Eissa¹, Aliaa Selim^{1

2}

Affiliations

¹ Alexandria University, Alexandria, 21526, Egypt.
² Ekbal Hospital, Alexandria, Egypt.
³ Alexandria Main University Hospital, Alexandria University, AlexandriaAlexandria, 5372066, Egypt. mohamed.hessien1171@alexmed.edu.eg.
⁴ Alexandria University, Alexandria, 21526, Egypt. mohamed.hessien1171@alexmed.edu.eg.
⁵ Ekbal Hospital, Alexandria, Egypt. mohamed.hessien1171@alexmed.edu.eg.
⁶ Alexandria Main University Hospital, Alexandria University, AlexandriaAlexandria, 5372066, Egypt.
⁷ Faculty of Medicine, Helwan University, Cairo, Egypt.

PMID: 38684584
DOI: 10.1007/s11695-024-07224-2

Abstract

As bariatric surgeries (BS) increase, more incidental findings are liable to be discovered. Incidental gastric gastrointestinal stromal tumors (GISTs) during BS can be found in around 0.7% of the cases. In this article, we have performed a systematic review of the literature and added our data to those of the review to review a conceptual treatment strategy to both improve patient outcomes and decrease the risk of overall cancer. With the rise of new bariatric techniques, we have proposed a new classification to BS to enhance our description of the treatment strategy.

Keywords: Bariatric surgery; Classification of bariatric surgeries; GIST; Gastrointestinal stromal tumors.

Publication types

Review