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- The stomach had to be reconstructed using loops of small bowel
India
healthysoch
Chandigarh / Gurugram, March 26, 2025:
In an extraordinary display of medical expertise and teamwork, Fortis Memorial Research Institute, Gurugram, has achieved a significant milestone by successfully removing a gigantic gastrointestinal stromal tumor weighing 10.3 kg measuring 35 x 26 cms from the abdomen of a 58-year-man. The patient had been experiencing abdominal pain for the past three months. The team of doctors led by Dr Amit Javed, Senior Director, Gastrointestinal Oncology, Minimal Access and Bariatric Surgery, Fortis Memorial Research Institute, Gurugram removed the massive cancerous tumor from his abdomen, which was hanging like a football from the stomach.
Patient Md Abdullah Hussain was experiencing severe abdominal pain and distension with passing of black colored stools and associated weakness and anemia. Md Abdullah had visited other city hospitals for treatment, however, owing to the multiple risk factors, treatment was not pursued. As a last resort, he approached Fortis Memorial Research Institute, Gurugram. Upon admission, a CT scan of his abdomen was conducted, which revealed the presence of a huge vascular tumor inside the abdomen. The team of doctors conducted gastrectomy (a surgical procedure where the entire or part of the stomach is removed) to remove the tumor. In this case, the tumor had engulfed the entire stomach and was stuck to it, thus the entire stomach had to be removed. The procedure lasted for nearly 6-7 hours and remarkably the patient was discharged within 9 days in a stable condition.
Giving details of the case, Dr Amit Javed, Senior Director, Gastrointestinal Oncology, Minimal Access and Bariatric Surgery, Fortis Memorial Research Institute, Gurugram said, “The surgery was very challenging and complex because of the size of the tumour. The Gastrointestinal Stromal Tumor occupied the entire abdominal cavity and was compressing major vessels and displacing the small bowel, stomach, pancreas, spleen and duodenum. Gastrointestinal stromal tumors (GIST) are rare tumors, some are relatively benign, while others can be aggressive. The most common complication of these tumors is bleeding, which could have been life-threatening, considering the size of this tumor. Fortunately, we were able to remove it before massive bleeding occurred. Stomach has a reservoir function, used to store ingested food. To reconstruct the stomach, we made a pouch of the small intestines and joined it to the oesophagus/food pipe. The patient is doing well and has recovered.”
Yash Rawat, VP and Facility Director, Fortis Memorial Research Institute Gurugram said, “This case was particularly challenging due to the tumor’s extensive size and weight. Nonetheless, our team of doctors, led by Dr. Amit Javed, handled it with exceptional skill. Clinical expertise and best-in-class care to manage such cases are the hallmarks of Fortis Hospital Gurugram, and we continuously endeavor to provide highest level of care to save lives and get improved outcomes.”
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