Yoon Dae Woong, Lee Beom Jae, Lee Jae Hyoung, Park Jong-Jae, Kim Jae Seon, Bak Young-Tae, Choi Won Jae, Mok Young Jae
Division of Gastroenterology, Department of Internal Medicine, Korea University Medical Center, Seoul, Korea.
Clin Endosc. 2012 Sep;45(3):198-201. doi: 10.5946/ce.2012.45.3.198. Epub 2012 Aug 22.
Inflammatory fibroid polyps are rare benign tumors of the GI tract, that commonly present with intestinal obstruction as a result of intussusceptions in the small bowel. A 39-year old man visited our clinic with an asymptomatic polypoid mass in the distal ileum that was identified on abdominal computed tomography for postoperative surveillance after total gastrectomy due to previously diagnosed early gastric cancer. Retrograde double-balloon enteroscopy was performed to diagnose the ileal mass and a complete resection of the polyp was performed using snare for polypectomy without complications. The final histological finding was an ileal inflammatory polyp. Balloon-assisted enteroscopy is a valuable modality to diagnose and treat small bowel lesions in lieu of surgical procedures in selected cases.
炎性纤维瘤性息肉是胃肠道罕见的良性肿瘤,常因小肠套叠导致肠梗阻。一名39岁男性因先前诊断为早期胃癌行全胃切除术后,为进行腹部计算机断层扫描术后监测,发现回肠末端有一个无症状的息肉样肿物,遂来我院就诊。行逆行双气囊小肠镜检查以诊断回肠肿物,并使用圈套器完整切除息肉,未发生并发症。最终组织学检查结果为回肠炎性息肉。在某些病例中,气囊辅助小肠镜检查是一种替代外科手术诊断和治疗小肠病变的有价值方法。