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胶原性胃炎。

Collagenous gastritis.

机构信息

Division of Gastroenterology, Tohoku University Graduate School of Medicine, Miyagi, Japan.

出版信息

Dig Endosc. 2013 Sep;25(5):547-9. doi: 10.1111/j.1443-1661.2012.01391.x. Epub 2012 Oct 22.

Abstract

In the present paper, we report a case of rare collagenous gastritis. The patient was a 25-year-old man who had experienced nausea, abdominal distention and epigastralgia since 2005. Esophagogastroduodenoscopy (EGD) carried out at initial examination by the patient's local doctor revealed an extensively discolored depression from the upper gastric body to the lower gastric body, mainly including the greater curvature, accompanied by residual mucosa with multiple islands and nodularity with a cobblestone appearance. Initial biopsies sampled from the nodules and accompanying atrophic mucosa were diagnosed as chronic gastritis. In August, 2011, the patient was referred to Tohoku University Hospital for observation and treatment. EGD at our hospital showed the same findings as those by the patient's local doctor. Pathological findings included a membranous collagen band in the superficial layer area of the gastric mucosa, which led to a diagnosis of collagenous gastritis. Collagenous gastritis is an extremely rare disease, but it is important to recognize its characteristic endoscopic findings to make a diagnosis.

摘要

在本研究中,我们报告了一例罕见的胶原性胃炎。该患者为 25 岁男性,自 2005 年以来出现恶心、腹胀和上腹痛。患者当地医生进行的食管胃十二指肠镜(EGD)初步检查发现,从胃上部到胃下部广泛存在变色的凹陷,主要位于大弯侧,伴有多个岛屿状和结节状残留黏膜,呈鹅卵石样外观。从结节和伴随的萎缩性黏膜中取样的初始活检被诊断为慢性胃炎。2011 年 8 月,患者被转至东北大学医院进行观察和治疗。我院的 EGD 检查结果与患者当地医生的检查结果相同。病理检查发现胃黏膜浅层有一层膜状胶原带,因此诊断为胶原性胃炎。胶原性胃炎是一种极为罕见的疾病,但识别其特征性内镜表现对诊断很重要。

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