腹腔镜经胃切除以急性胃肠道出血为表现的胃脂肪瘤。
Laparoscopic transgastric resection of a gastric lipoma presenting as acute gastrointestinal hemorrhage.
作者信息
Paksoy Melih, Böler Deniz Eren, Baca Bilgi, Ertürk Süphan, Kapan Selin, Bavunoglu Işl, Sirin Feridun
机构信息
Department of General Surgery, Istanbul University Cerrahpaşa Medical School, Istanbul, Turkey.
出版信息
Surg Laparosc Endosc Percutan Tech. 2005 Jun;15(3):163-5. doi: 10.1097/01.sle.0000166964.64521.c7.
A 71-year-old man was admitted to the emergency unit with upper gastrointestinal bleeding, due to a gastric lipoma, which was controlled with conservative measures. Endoscopy and computed tomography revealed a 4-cm submucosal mass located in the posterior wall of gastric antrum. The patient underwent an elective laparoscopic transgastric resection of the lipoma and discharged on postoperative day 6. Gastric lipomas are uncommon tumors that can be incidentally found. They produce symptoms similar to peptic ulcer disease and can lead to obstruction. Gastric lipomas, which may lead to life-threatening complications such as bleeding, can be safely and reliably treated by laparoscopic transgastric resection.
一名71岁男性因胃脂肪瘤导致上消化道出血入住急诊室，经保守治疗后出血得到控制。内镜检查和计算机断层扫描显示胃窦后壁有一个4厘米的黏膜下肿块。患者接受了择期腹腔镜经胃脂肪瘤切除术，并于术后第6天出院。胃脂肪瘤是一种罕见肿瘤，可偶然发现。它们产生类似于消化性溃疡疾病的症状，并可能导致梗阻。胃脂肪瘤可能导致诸如出血等危及生命的并发症，通过腹腔镜经胃切除术可安全可靠地进行治疗。
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