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Sunkara N, Selig T, Elfanagely Y, Sepe TE. Gastrointestinal Stromal Tumor Complicated by Fistula Formation. ACG Case Rep J 2023; 10:e01195. [PMID: 37928233 PMCID: PMC10621908 DOI: 10.14309/crj.0000000000001195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 09/25/2023] [Accepted: 10/02/2023] [Indexed: 11/07/2023] Open
Abstract
Gastrointestinal (GI) stromal tumors are mesenchymal tumors that may arise in any portion of the GI tract. Their clinical presentation and complications may vary but do not often present with fistulization. This case is of clinical interest because of the rarity of GI stromal tumor intestinal fistulas.
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Affiliation(s)
- Naveena Sunkara
- Department of Internal Medicine, Warren Alpert Medical School, Brown University, Providence, RI
| | - Tyler Selig
- Department of Internal Medicine, Warren Alpert Medical School, Brown University, Providence, RI
| | - Yousef Elfanagely
- Division of Gastroenterology, Warren Alpert Medical School, Brown University, Providence, RI
| | - Thomas E. Sepe
- Division of Gastroenterology, Warren Alpert Medical School, Brown University, Providence, RI
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Huang S, Liu X, Guo X, Wu H, Lu H, Pan Z, Cai S, Wu X, Zhang X. Sunitinib versus imatinib dose escalation after failure of imatinib standard dose in patients with advanced Gastrointestinal stromal tumors - a real-world multi-center study. Transl Oncol 2023; 30:101641. [PMID: 36791510 PMCID: PMC9950928 DOI: 10.1016/j.tranon.2023.101641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 01/28/2023] [Accepted: 02/08/2023] [Indexed: 02/15/2023] Open
Abstract
BACKGROUND Whether to escalate imatinib dosage or directly switch to sunitinib in gastrointestinal stromal tumors (GISTs) failing on standard dose 400 mg/d of imatinib is still controversial. METHODS We evaluated progression-free survival (PFS), overall survival (OS), and time to sunitinib failure (TTSF) of patients selecting imatinib dose escalation or directly switching to sunitinib after the failure of imatinib 400 mg/d therapy from 3 tertery referring centers between January 2008 to December 2016. RESULTS A total of 240 patients receiving sunitinib (37.5 mg continuous daily dose or 50 mg 4 weeks on with 2 weeks off) for at least 8 weeks were examined. After failure on imatinib 400 mg/d, 100 (49.3%) patients had dose escalation to 600 mg or 800 mg per day (IM group, imatinib group), and 103 (50.7%) directly switched to sunitinib (SU group, sunitinib group). The PFS in the SU and IM groups was 12 months and 5.0 months (P < 0.001), respectively. TTSF or OS in both groups was not statistically significantly different. CONCLUSIONS After the progression of imatinib standard-dose treatment in recurrent/metastatic GISTs, the PFS of patients directly switching to sunitinib was significantly longer compared with the PFS of patients with imatinib dose escalation. However, when the patients continued with sunitinib therapy after the failure of IM dose escalation, TTSF and OS in the IM group were similar to those in the SU group. Further exploration of the characteristics of the population benefiting from imatinib dose escalation are warranted.
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Affiliation(s)
- Shaoqing Huang
- Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Xing Liu
- Department of Gastric Surgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou China
| | - Xiaodan Guo
- Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Hui Wu
- Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Huishan Lu
- Department of Colorectal Surgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou China
| | - Zhizhong Pan
- Department of Colorectal Surgery, Sun Yat-Sen University Cancer Center, Guangzhou, China
| | - Shirong Cai
- Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Xiaojun Wu
- Department of Colorectal Surgery, Sun Yat-Sen University Cancer Center, Guangzhou, China.
| | - Xinhua Zhang
- Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
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Dutch Gastrointestinal Stromal Tumor (GIST) Registry Data Comparing Sunitinib with Imatinib Dose Escalation in Second-Line Advanced Non-KIT Exon 9 Mutated GIST Patients. Target Oncol 2022; 17:627-634. [PMID: 36374447 PMCID: PMC9684294 DOI: 10.1007/s11523-022-00926-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/18/2022] [Indexed: 11/16/2022]
Abstract
Background The prognosis of patients with advanced gastrointestinal stromal tumor (GIST) has improved greatly after the introduction of imatinib. However, primary or secondary resistance to imatinib occurs in the majority of patients. Sunitinib is the standard second line treatment in exon-9 mutated GIST. Objective We compared the clinical outcomes of sunitinib with imatinib dose escalation in patients with progressive advanced non-KIT exon 9 mutated GIST after failure of first line imatinib. Patients and Methods A retrospective study was performed, retrieving data from a real-life database (Dutch GIST Registry) including patients with GIST treated with sunitinib or imatinib dose escalation after failure on first line imatinib 400 mg daily. Primary outcome measures were progression free survival (PFS) and overall survival (OS). Results In total, 110 patients were included, 72 (65.5%) patients were treated with sunitinib (group A) and 38 (34.5%) received an imatinib dose escalation (group B). Important prognostic features at baseline, such as tumor size, stage at diagnosis, mitotic count and localization were equally distributed in both groups. No significant difference (p = 0.88) between median PFS in group A [8.7 months (95% CI 5.6–11.3)] and group B [5.6 months, (95% CI 2.6–8.7)] was observed. Moreover, the OS was similar between group A and group B; 63.2 months and 63.4 months, respectively. Conclusion This study represents a proper sample size cohort containing detailed data on mutational status of patients with advanced GIST. We illustrated that imatinib dose escalation could serve as a good alternative for sunitinib as second-line treatment in patients with a non-KIT exon 9 mutation.
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Meng Y, Sun A, Ji G, Wei C, Jia J. Application Effect Analysis of Operating Room Detailed Nursing Based on Medical Big Data in Patients Undergoing Gastrointestinal Tumor Surgery. JOURNAL OF HEALTHCARE ENGINEERING 2022; 2022:8575305. [PMID: 35313511 PMCID: PMC8934229 DOI: 10.1155/2022/8575305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 02/08/2022] [Accepted: 02/11/2022] [Indexed: 11/18/2022]
Abstract
With the continuous development of internet information computing, the continuous improvement of medical and health systems, and the continuous increase of medical big data, traditional operating room care also needs to be further optimized. Medical big data is a forum data set for medical industry healthcare, electronic medical record information, clinical case record information, medical financial data, remote patient monitoring data, clinical decision support data, medical insurance data set, online consulting platform, and so on. Gastrointestinal tumors are currently one of the largest malignant tumors. Compared with ordinary patients, the presence of fear, depression, irritability, and other unhealthy emotions in patients with gastrointestinal tumors will reduce the therapeutic effect. Without careful care, the use of chemotherapy and other treatments makes patients vulnerable to various side effects. This article aims to study the use of medical big data intelligent algorithms to perform detailed care for patients during gastrointestinal tumor surgery and analyze the effects of care. This paper proposes an improved DNN algorithm; the DNN algorithm is to use several weight coefficient matrices and bias vectors to perform a series of linear operations and activation operations with the input value vector, starting from the input layer, backward calculation layer by layer, until the operation reaches the output layer, and the output result is obtained. This algorithm is used to study the theory, use mathematical formulas for method calculation and model design, and use the model to carry out detailed nursing experiments in the relevant operating room. The results of the experiment show that patients who have performed detailed care have a 27.2% improvement in treatment and rehabilitation effects than those who have not, and the level of detailed care has an obvious positive relationship with the rate of condition conversion. In the end, the hospital's detailed care quality evaluation index, which is QEI, increases by 1 point, which can increase the rate of condition conversion by 0.4.
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Affiliation(s)
- Yan Meng
- Operating Room, Xingtai People's Hospital, Xingtai 054000, Hebei, China
| | - Aixue Sun
- Oncology Department, Xingtai People's Hospital, Xingtai 054000, Hebei, China
| | - Ge Ji
- Operating Room Recovery Room, Xingtai People's Hospital, Xingtai 054000, Hebei, China
| | - Caiye Wei
- Operating Room, Xingtai People's Hospital, Xingtai 054000, Hebei, China
| | - Junhong Jia
- Operating Room, Xingtai People's Hospital, Xingtai 054000, Hebei, China
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Dekker TJA. Ripretinib for advanced gastrointestinal stromal tumours. Lancet Oncol 2020; 21:e414. [DOI: 10.1016/s1470-2045(20)30438-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 06/12/2020] [Indexed: 10/23/2022]
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Urbanska EM, Santoni-Rugiu E, Melchior LC, Carlsen JF, Sørensen JB. Intracranial Response of ALK + Non-Small-cell Lung Cancer to Second-line Dose-escalated Brigatinib After Alectinib Discontinuation Due to Drug-induced Hepatitis and Relapse After Whole Brain Radiotherapy Followed by Stereotactic Radiosurgery. Clin Lung Cancer 2020; 22:e528-e532. [PMID: 32651064 DOI: 10.1016/j.cllc.2020.04.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 03/28/2020] [Accepted: 04/21/2020] [Indexed: 10/24/2022]
Affiliation(s)
| | - Eric Santoni-Rugiu
- Department of Pathology, University of Copenhagen, Rigshospitalet, Copenhagen, Denmark; Biotech Research & Innovation Centre (BRIC), University of Copenhagen, Copenhagen, Denmark
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Yang W, Li K, Yu J, Shou C, Zhang Q, Hong Y, Sun J, Yu H, Gao Y, Shen Q, Zhao Z, Zheng S. Clinical outcomes of imatinib dose escalation versus sunitinib in first-line imatinib-failure gastrointestinal stromal tumour. Scand J Gastroenterol 2019; 53:1328-1334. [PMID: 30346846 DOI: 10.1080/00365521.2018.1518484] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
AIM The majority of available data on the clinical efficacy of sunitinib in patients with imatinib-resistant or -intolerant gastrointestinal stromal tumours (GISTs) are from studies of western populations. We investigated the clinical outcomes of imatinib dose escalation versus sunitinib in first-line imatinib-failure Asian GIST patients to further guide clinical treatment. METHODS Patients received imatinib dose escalation and a shift to sunitinib (Group A) or a direct shift to sunitinib (Group B). The objective tumour response was assessed according to Choi's criteria. Progression-free survival (PFS) and overall survival (OS) were calculated. The relationship between genetic mutation and survival was analysed. RESULTS In total, 40 patients who fulfilled the inclusion criteria were recruited. The differences in survival between Group A and Group B were not significant for PFS (p = .776) or OS (p = .219). For patients with KIT exon 11 mutation, a trend towards a better PFS was found in Group B (p = .122), OS of Group B was better than Group A (p = .013). The median PFS and OS of sunitinib treatment were 8 and 24 months, respectively, and a clinical benefit was observed in 80%. Patients with KIT exon 11 mutations had better PFS compared to those with KIT exon 9 mutations or wild-type GISTs (p = .017, p = .040, respectively). CONCLUSIONS Both imatinib dose escalation and sunitinib were optional in Asian patients after failure of first-line imatinib, and patients with KIT exon 11 mutation benefited more from a direct shift to sunitinib.
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Affiliation(s)
- Weili Yang
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Kai Li
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Jiren Yu
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Chunhui Shou
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Qing Zhang
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Yanyun Hong
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Jianyi Sun
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Hang Yu
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Yuan Gao
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Qianyun Shen
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Zhicheng Zhao
- a Department of gastrointestinal surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
| | - Shusen Zheng
- b Department of hepatopancreatobiliary surgery, The First Affiliated Hospital , Zhejiang University School of Medicine , Hangzhou , China
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Cai Z, Yin Y, Shen C, Tang S, Yin X, Chen Z, Zhang B. Role of surgical resection for patients with recurrent or metastatic gastrointestinal stromal tumors: A systematic review and meta-analysis. Int J Surg 2018; 56:108-114. [DOI: 10.1016/j.ijsu.2018.06.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 04/24/2018] [Accepted: 06/10/2018] [Indexed: 01/11/2023]
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