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<p>Incidental gastrointestinal stromal tumors (GISTs) discovered during bariatric surgeries present unique diagnostic and management challenges. In response to Khan et al.’s report on a sleeve-preserving approach to GIST resection, we highlight several critical considerations. Contrary to the notion that incidental GISTs rarely alter surgical plans, tumor characteristics, especially size and location near critical structures like the gastroesophageal junction, can necessitate procedural modifications. Preoperative endoscopy plays a pivotal role in early detection and surgical planning. We also underscore the importance of individualized oncologic decision-making, integrating tumor parameters and procedural classification systems.</p>

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Critical Aspects into Surgical Management, Classification, and Therapeutic Guidelines for Incidental GISTs During Bariatric Surgeries

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年5月19日

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  • Hassan El-Masry,
  • Mohamed Abouegylah,
  • Ahmed Abokhozima

摘要

Incidental gastrointestinal stromal tumors (GISTs) discovered during bariatric surgeries present unique diagnostic and management challenges. In response to Khan et al.’s report on a sleeve-preserving approach to GIST resection, we highlight several critical considerations. Contrary to the notion that incidental GISTs rarely alter surgical plans, tumor characteristics, especially size and location near critical structures like the gastroesophageal junction, can necessitate procedural modifications. Preoperative endoscopy plays a pivotal role in early detection and surgical planning. We also underscore the importance of individualized oncologic decision-making, integrating tumor parameters and procedural classification systems.