内镜下切除导致间歇性胃出口梗阻的脱垂恶性息肉。
Endoscopic excision of a prolapsing malignant polyp which caused intermittent gastric outlet obstruction.
作者信息
Freeman Hugh J
机构信息
Department of Medicine (Gastroenterology), University of British Columbia, Vancouver, BC, V6T 1W5 Canada.
出版信息
World J Gastroenterol. 2005 Sep 7;11(33):5245-7. doi: 10.3748/wjg.v11.i33.5245.
Abstract
A 69-year-old male with chronic lymphocytic leukemia presented with iron deficiency anemia and post-prandial abdominal fullness. Endoscopy showed a large polyp on a stalk, protruding through the pylorus into the duodenum causing intermittent gastric outlet obstruction. While prolapsing gastric antral polyps are usually benign and hyperplastic, inflammatory or regenerative in type, excisional snare polypectomy here led to complete resolution of his symptoms, but showed a malignant polyp.
摘要
一名69岁慢性淋巴细胞白血病男性患者，出现缺铁性贫血和餐后腹部饱胀感。内镜检查显示一个带蒂的大息肉，经幽门突入十二指肠，导致间歇性胃出口梗阻。虽然脱垂性胃窦息肉通常为良性，类型上多为增生性、炎性或再生性，但此次圈套切除息肉术后患者症状完全缓解，却发现是恶性息肉。
相似文献
1
Endoscopic excision of a prolapsing malignant polyp which caused intermittent gastric outlet obstruction.
World J Gastroenterol. 2005 Sep 7;11(33):5245-7. doi: 10.3748/wjg.v11.i33.5245.
2
Prolapsing Gastric Polyp Causing Intermittent Gastric Outlet Obstruction.
Int Surg. 2015 Jun;100(6):1148-52. doi: 10.9738/INTSURG-D-14-00205.1. Epub 2015 Jan 11.
3
Large pedinculated antral hyperplastic gastric polyp traversed the bulbus causing outlet obstruction and iron deficiency anemia: endoscopic removal.
World J Gastroenterol. 2003 Mar;9(3):633-4. doi: 10.3748/wjg.v9.i3.633.
4
Prolapsing gastric polyp, an unusual cause of gastric outlet obstruction: a review of the pathology and management of gastric polyps.
Endoscopy. 1996 Jun;28(5):452-5. doi: 10.1055/s-2007-1005510.
5
Endoscopic management of multiple large antral hyperplastic polyps causing gastric outlet obstruction.
Ann Ital Chir. 2011 Jul-Aug;82(4):297-300.
6
Pyloric obstruction caused by prolapse of a hyperplastic gastric polyp.
Hepatogastroenterology. 2002 Jul-Aug;49(46):958-60.
7
Hyperplastic gastric polyp causing progressive gastric outlet obstruction.
Mayo Clin Proc. 1998 Oct;73(10):964-7. doi: 10.4065/73.10.964.
8
Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp.
World J Gastrointest Oncol. 2010 May 15;2(5):242-6. doi: 10.4251/wjgo.v2.i5.242.
9
Gastric outlet obstruction due to giant hyperplastic gastric polyps.
J Formos Med Assoc. 2005 Nov;104(11):852-5.
10
Endoscopic Resection of a Large Submucosal Tumor Causing Intermittent Gastric Outlet Obstruction Using a Novel Radiofrequency Enabled Device.
Dig Dis. 2022;40(1):119-122. doi: 10.1159/000515855. Epub 2021 Mar 15.
引用本文的文献
1
Benign Blockage: Gastric Outlet Obstruction due to a Prolapsing Gastric Pedunculated Polyp-Case Report and Literature Review.
Dig Dis Sci. 2021 Jun;66(6):1791-1795. doi: 10.1007/s10620-021-06890-x. Epub 2021 Feb 26.
2
Prolapsed fundic gastric polyp causing gastroduodenal intussusception and acute pancreatitis.
J Surg Case Rep. 2018 Jul 3;2018(7):rjy139. doi: 10.1093/jscr/rjy139. eCollection 2018 Jul.
3
Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy.
Case Rep Gastroenterol. 2011 May;5(2):267-71. doi: 10.1159/000328443. Epub 2011 May 3.
4
Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp.
World J Gastrointest Oncol. 2010 May 15;2(5):242-6. doi: 10.4251/wjgo.v2.i5.242.
5
Proton pump inhibitors and an emerging epidemic of gastric fundic gland polyposis.
World J Gastroenterol. 2008 Mar 7;14(9):1318-20. doi: 10.3748/wjg.14.1318.
本文引用的文献
1
Antral hyperplastic polyp causing intermittent gastric outlet obstruction: case report.
BMC Gastroenterol. 2003 Jun 27;3:16. doi: 10.1186/1471-230X-3-16.
2
Large pedinculated antral hyperplastic gastric polyp traversed the bulbus causing outlet obstruction and iron deficiency anemia: endoscopic removal.
World J Gastroenterol. 2003 Mar;9(3):633-4. doi: 10.3748/wjg.v9.i3.633.
3
Pyloric obstruction caused by prolapse of a hyperplastic gastric polyp.
Hepatogastroenterology. 2002 Jul-Aug;49(46):958-60.
4
Hyperplastic gastric polyp causing progressive gastric outlet obstruction.
Mayo Clin Proc. 1998 Oct;73(10):964-7. doi: 10.4065/73.10.964.
5
Gastric epithelial polyps: a retrospective endoscopic study of 12974 symptomatic patients.
Ital J Gastroenterol. 1996 Sep;28(7):387-90.
6
Prolapsing gastric polyp, an unusual cause of gastric outlet obstruction: a review of the pathology and management of gastric polyps.
Endoscopy. 1996 Jun;28(5):452-5. doi: 10.1055/s-2007-1005510.
7
Carcinoma in gastric hyperplastic polyps. A phenotypic study.
Dig Dis Sci. 1996 Feb;41(2):377-86. doi: 10.1007/BF02093832.
8
Long-term follow-up study on gastric adenoma and its relation to gastric protruded carcinoma.
Cancer. 1982 Dec 1;50(11):2496-503. doi: 10.1002/1097-0142(19821201)50:11<2496::aid-cncr2820501140>3.0.co;2-1.
9
Endoscopic gastric polypectomies.
Mayo Clin Proc. 1981 Jun;56(6):371-5.
10
Gastric polypectomy. Long-term results (survey of 23 centres in Germany).
Endoscopy. 1983 Jan;15(1):8-11. doi: 10.1055/s-2007-1018596.
Zotero 插件