Kadurei Firas, Alboraie Mohamed
Faculty of Medicine, Kuwait University, Safat, Kuwait Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Safat, Kuwait.
Haya Al-Habeeb Gastroenterology Center, Department of Internal Medicine, Mubarak Al-Kabeer Hospital, Hawally, Kuwait Department of Internal Medicine, Al Azhar University, Cairo, Egypt.
BMJ Case Rep. 2016 Aug 24;2016:bcr2016216556. doi: 10.1136/bcr-2016-216556.
An 87-year-old woman with multiple medical disorders presented with dyspeptic symptoms of long duration. She has a history of peptic ulcer disease for which she has partial gastrectomy (Billroth I) in the past. Oesophagogastroduodenoscopy (OGD) was performed which revealed erythematous mucosa in the lower part of the gastric remnant with areas of whitish mucosal patches in the distal stomach close to the gastroduodenal anastomosis. Biopsies were taken from the whitish mucosal patches and sent for histopathological examination. The result of the biopsy confirmed the presence of marked intestinal metaplasia. This case report summarises the presentation, diagnoses and treatment of gastric intestinal metaplasia (GIM).
一名患有多种内科疾病的87岁女性出现了持续时间较长的消化不良症状。她有消化性溃疡病史，过去曾接受过部分胃切除术（毕罗一式）。进行了食管胃十二指肠镜检查（OGD），结果显示胃残端下部黏膜红斑，在靠近胃十二指肠吻合口的胃远端有白色黏膜斑区域。从白色黏膜斑处取活检组织并送去做组织病理学检查。活检结果证实存在明显的肠化生。本病例报告总结了胃肠化生（GIM）的临床表现、诊断和治疗。
