Babich Jay P, Klein Jonathan, Friedel David M
Division of Gastroenterology, Hepatology, and Nutrition, and Department of Pathology, Winthrop University Hospital, Mineola, NY 11501, USA.
South Med J. 2010 Mar;103(3):250-2. doi: 10.1097/SMJ.0b013e3181c95727.
Brunner glands are compound tubular submucosal glands typically found in the duodenal bulb. The most common benign tumors of the small intestine are adenoma, and 25% of these occur in the duodenum. Among the benign tumors of the duodenum, 30-50% arise from the Brunner glands. Most of the literature describes their presentations as ranging from benign, nonspecific, epigastric discomfort to obstruction and intestinal bleeding. A good percentage of them are surgically resected; however, there has been an advancement to remove them endoscopically. We present one of the first cases of an endoscopic ultrasound (EUS) approach to the diagnosis and therapeutic removal of a brunneroma.
布伦纳腺是一种复合管状黏膜下腺，通常见于十二指肠球部。小肠最常见的良性肿瘤是腺瘤，其中25%发生于十二指肠。在十二指肠良性肿瘤中，30% - 50%起源于布伦纳腺。大多数文献描述其表现范围从良性、非特异性的上腹部不适到梗阻和肠道出血。其中很大一部分通过手术切除；然而，在内镜下切除它们已有进展。我们展示了首例采用内镜超声（EUS）诊断和治疗性切除布伦纳腺瘤的病例之一。
