Gastrointestinal stromal tumors (GISTs) are the most frequent mesenchymal neoplasms of the gastrointestinal tract accounting for approximately 1-3% of all gastrointestinal tumors.
The incidence rate for GIST is calculated 10-20 cases per million inhabitants, which is about 5000 of cases annually. This makes GIST the most common sarcoma among more than 70 malignant tumors arising in connective tissues.
Clinical manifestation of GISTs can be manifested with symptoms of gastrointestinal bleeding, difficulty swallowing, metastases (mainly in the liver).
Intestinal obstruction is rare in connection with typical tumor growth outward. By the time of diagnosis, the tumor can reach quite large sizes. Verification of the diagnosis is done during a biopsy procedure, which can be performed endoscopically percutaneously (under CT or US control), as well as during surgical intervention.
Patient O.A. 1961y/b, in 08.01.2018. was admitted to General & Thoracic Surgery Department of MC Erebouni with complaints of abdominal swelling in recent months, frequent nausea, vomiting, red stool with visible blood, weakness, loss of appetite. Anamnesis: surgery for appendicular peritonitis.
On 20 March 2018, in MC Erebouni, together with Sanofi and Medtronic companies was organized live, interactive webinar of angiographic laboratory of Pasteur clinic (Toulouze), from where Prof. Jean Fajadet and Prof. Bruno Farah implemented live interventional procedure for a patient with complex coronary pathology, and also held a discussion and answered the questions of the webinar participants.
From the Armenian side, MC Erebouni, the webinar was held by the Chief of Cardiology Center of MC Erebouni Prof. Hamlet Hayrapetyan. The webinar participants both from the Armenian and French sides were interventional cardiologists, general cardiologists, arrhythmologists, clinical residents.
During intervention bifurcation stenting of anterior descending artery and the first diagonal artery were carried out by the DK crush technique (double -kissing crush).
After successful completion of the interventional procedure the results of stenting were presented, it was followed by a discussion and question-and-answer session of the webinar participants. During discussions optimal strategy of the patient management with IHD (ischemic heart disease) and coronary arteries bifurcation ...
In 12.02.2018 at 02:45 a patient O.I., 1992 y/b., after RTA (road traffic accident) has admitted to ICU (Intensive Care Unit) of MC Erebouni in severe condition, conscious, with a chest pain, heavy breathing, with the diagnosis of polytrauma.
Radiologist of X-ray Department A. Gevorgyan carried out CT exam, which urgently allowed to reveal violation of the integrity of the internal organs, that helped the team of surgeons to develop the right tactics of staged surgical correction of injured organs and save the life of the patient diagnosed with: Combined thoracoabdominal trauma. Rib fracture in the right. Right apical pneumothorax. Pulmonary contusion. Fracture of middle third of body of sternum. Hemopericardium. Cardiac tamponade. Liver rupture. Internal bleeding. Hemoperitoneum.
At 03:10 the patient was transferred to ICU (Intensive Care Unit). There he was intubated, and at 03:20 urgently was transferred to an operating room. Anesthesiological support of staged, multihour surgical intervention of the patient was carried out by anesthesiologist of Anesthesiology Department Dr. A. Cherqezyan.
Erebouni Medical Center is the biggest medical institution in the Republic of Armenia where people get multiprofile, high- quality medical care in accordance with world standards.
Thanks to scientific, clinical and educational activities of the specialists, collaboration with leading medical institutions, constanty adopted modern technologies from the leading companies: Siemens, Dragger, Schtorz, Rosh, Olympus, Erebouni Medical Center has gained wide recognition in our country as well as abroad.
Training, specialization and continious education of the Center's specialists at the leading clinics of the world and their participation at international scientific meetings allow to introduce continuously the newest acievements in medicine into the practical activity of the Center.
The patients have possibility to obtain a consultation and a second opinion of the leading specialists from Germany, France, Russia, USA and other countries regarding diagnostics and treatment provided at Erebouni MC.
Erebouni Medical Center is one of the clinical bases of Yerevan State Medical University after M. Heratsi and Armenian Medical University, where the students get education for Batchelor's degree and Master's degree or specialization in clinical residency. The Center is also the clinical basis for post- graduate and continious medical education. There are given wide oppportunities for research in the Center including doctoral and postdoctoral research study.
Erebouni Medical Center, paying great attention to the training of nurses in accordance with international educational standards and programs, is also the main clinical basis for «Erebouni» Medical College.
The individual approach to each patient – is the pledge of qualified medical care. It is the motto and main principale of the work of Erebouni Medical Center.
Administration and the team of the Erebouni Medical Center make all efforts for ensuring the high- quality, effective and safe treatment for patients.
Erebouni Medical Center was founded in 1991 on the basis of clinical hospital «Erebouni». The center has passed the creative way of establishment and development, and today it is the biggest medical center of Armenia, which realizes clinical, research and educational activities, thanks to which it has obtained recognition in our country as well as beyonds its borders.
Erebouni Medical Center has 8 basic clinics: Diagnostics, Surgery, Therapy, Emergency Medical Care and Ambulance, Cardiology & Cardiovascular Surgery, Neurology & Neurosurgery. There are located more than 40 specialized departments, and also Maternity Home and Outpatient clinic.
The medical center is equipped with modern diagnostic, medical and surgical equipment, as well as extended instrumental base, which allows performance of a wide range of diagnostic and laboratory examinations.
Due to the profile integration in MC Erebouni the new multidisciplinary specialized units, equipped with the modern complete sets of professional equipment was created:
Multiprofile Surgery Clinic with a variety of narrowly specialized surgical departments which creates an opportunity for activities of highly professional multi-disciplinary surgical team.
In the highly equipped, comfortable and high quality Maternity Clinic of MC Erebounievery year there are registered more than 3700 deliveries, and approximately 27000 women every year get in-patient treatment in the departments of surgical and conservative gynecology. The out-patient service of Maternity Home serves approximately 200.000 women per year.
The Center for Women's Reproductive Health, established in cooperation with the Bet Israel Hospital (Boston) and UCLA Medical Center, for the first time in Armenia has introduced a program of prevention of precancerous diseases, family planning, new protocols for the management of high-risk pregnant women and others.
The ambulance service of Erebouni Medical Centerrealizes timely mobilization of more than 200 severe patients per month from Yerevan and other regions of Armenia with provision of qualified emergency medical aid and their further specialized treatment organization in appropriate departments of the Center.
Today, more than 402 physicians work at the MC «Erebouni», including academicians and professors, 10 doctors with Grand PhD degree (Doctors of Medical Science), 35 doctors with PhD degree (Candidates of Medical Science), and also 618 nurses. More than 600 patients per day get inpatient care in different departments of MC «Erebouni».
The Center provides medical services to inhabitants of Armenia as well as to foreigners.
Erebouni Medical Center has huge contribution not only in the development of the medical science of Armenia, but also in the development and the extension of a spectrum of medical services in general. The staff of Erebouni Medical Center constantly works out new projects and programs for modernization and improvement of medical services, every now and then re-equipping the technical facilities of the clinic with new equipment from leading companies such as Siemens, Dragger, Storz, Rosh, Olympus. Erebouni MC is constantly enlarging its collaboration with most famous clinics of the world, and creates new opportunities for multilateral cooperation of Armenian doctors with leading foreign specialists.
MC Erebouni is also one of the main bases for the clinical chairs of medical universities and colleges in the country, and its staff performs not only clinical but also education activities. There are all necessary conditions and facilities for both undergraduate (bachelor and master degree) and postgraduate (clinical residency, specialization) trainings, as well as for specialization and research.
On the basis of MC Erebouni doctoral and PhD students actively conduct their research projects. Today MC Erebouni is one of the major medical institutions of the country, which is the basis for multicenter clinical studies, and its staff is managing the joint multicenter clinical research projects.
Erebouni Medical Center has been repeatedly nominated at the competition «National Trust» and was awarded with the title «The Best Medical Organization» and «The Best Provider of Medical Services».
Erebouni Medical Center has also multitude international prices, which indisputably testifies to its international acknowledgement.