Esophagogastric Reconstruction in Cobra-Head Shape with Toupet-Like Partial Anti-Reflux Technique for Resection of Proximal Gastric Tumors. Experience with Three Cases from a Non-Asian Population

Background: Proximal gastrectomy is a rarely performed procedure but feasible option in benign tumors and malignant neoplasms the proximal third of stomach since novel options reconstructions are available nowadays with fewer long-term sequels. Methods: Report three cases gastric gastrointestinal stromal (GIST), description its presentation, histological characteristics, follow-up after being treated cobra head reconstruction. Results: Case 1: A 62-year-old woman epigastric pain four months endoscopic evidence cardia GIST. The surgery was without complications. histopathological report confirmed fusiform GIST 3.2 × 3 2.5 cm, stage IA. No adjuvant treatment considered. An esophagogram showed no reflux stenosis, disease recurrence 40-months follow-up. 2: 66-year-old dyspepsia palpable tumor epigastrium. pathology 13 8 7 staged II. She received imatinib for 36 or stenosis. 3: 55-year-old intermittent hematemesis right subscapular pain. concluded that cardia, 1.4 1.2 left observation. At 6-month follow-up, she does not dysphagia, reflux, locoregional recurrence. Conclusions: Open laparoscopic safe therapeutic Furthermore, reconstruction esophagus-gastro anastomosis secure our population, good functional results short