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伴有胃出口梗阻的透壁性嗜酸性胃炎:病例报告及文献复习

Transmural eosinophilic gastritis with gastric outlet obstruction: case report and review of the literature.

作者信息

Holroyd David J, Banerjee Saswata, Chaudhary Khurram S, Reshamwalla Sophie, Vijay Vardhini, Ward Michael W

机构信息

Department of General Surgery, Barnet & Chase Farm NHS Trust, The Ridgeway, Enfield, London, UK.

出版信息

Ann R Coll Surg Engl. 2010 May;92(4):W18-20. doi: 10.1308/147870810X12659688851915.

DOI:10.1308/147870810X12659688851915
PMID:20501003
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5696889/
Abstract

Eosinophil-associated gastrointestinal disorders (EGIDs) are uncommon conditions whose aetiologies are unclear, but which are characterised by eosinophilic infiltration and inflammation of the gastrointestinal tract in the absence of other causes of eosinophilia. We report the case of a 65-year-old woman with eosinophilic gastritis who underwent a Polya gastrectomy for a suspected gastric tumour with gastric outflow obstruction. Subsequent histological examination showed a non-malignant transmural eosinophilic infiltration of the stomach wall, a rare pathological entity. We present a review of the literature and discuss the management of such cases.

摘要

嗜酸性粒细胞相关的胃肠道疾病(EGIDs)是病因不明的罕见病症,但特征是在没有其他嗜酸性粒细胞增多原因的情况下,胃肠道出现嗜酸性粒细胞浸润和炎症。我们报告一例65岁患嗜酸性胃炎的女性病例,该患者因疑似胃肿瘤伴胃流出道梗阻接受了波利亚胃切除术。随后的组织学检查显示胃壁有非恶性的透壁嗜酸性粒细胞浸润,这是一种罕见的病理实体。我们对文献进行了综述,并讨论了此类病例的管理。

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Transmural eosinophilic gastritis with gastric outlet obstruction: case report and review of the literature.伴有胃出口梗阻的透壁性嗜酸性胃炎:病例报告及文献复习
Ann R Coll Surg Engl. 2010 May;92(4):W18-20. doi: 10.1308/147870810X12659688851915.
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本文引用的文献

1
Optimal approach to obtaining mucosal biopsies for assessment of inflammatory disorders of the gastrointestinal tract.获取用于评估胃肠道炎症性疾病的黏膜活检的最佳方法。
Am J Gastroenterol. 2009 Mar;104(3):774-83. doi: 10.1038/ajg.2008.108. Epub 2009 Feb 10.
2
Gastric outlet obstruction.胃出口梗阻
Hepatogastroenterology. 2007 Dec;54(80):2415-20.
3
Eosinophilic and lymphoeosinophilic cholecystitis.嗜酸性粒细胞性和淋巴细胞嗜酸性粒细胞性胆囊炎。
Am J Surg Pathol. 1993 May;17(5):497-501. doi: 10.1097/00000478-199305000-00009.
4
Eosinophilic gastroenteritis: a clinicopathological study of patients with disease of the mucosa, muscle layer, and subserosal tissues.嗜酸性粒细胞性胃肠炎:一项关于黏膜、肌层和浆膜下组织疾病患者的临床病理研究。
Gut. 1990 Jan;31(1):54-8. doi: 10.1136/gut.31.1.54.
5
Case report: eosinophilic gastritis simulating a neoplasm.
Am J Med Sci. 1978 Sep-Oct;276(2):227-30. doi: 10.1097/00000441-197809000-00011.