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内镜下黏膜下剥离术治疗合并胃胃肠道间质瘤的胃十二指肠套叠

Gastroduodenal Intussusception with a Gastric Gastrointestinal Stromal Tumor Treated by Endoscopic Submucosal Dissection.

作者信息

Yamauchi Kenji, Iwamuro Masaya, Ishii Eiji, Narita Makoto, Hirata Nobuto, Okada Hiroyuki

机构信息

Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan.

Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan.

出版信息

Intern Med. 2017;56(12):1515-1519. doi: 10.2169/internalmedicine.56.8160. Epub 2017 Jun 15.

DOI:10.2169/internalmedicine.56.8160
PMID:28626176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5505906/
Abstract

A 95-year-old Japanese woman presented to our hospital with intermittent vomiting and several episodes of melena. Abdominal computed tomography revealed intussusception of the gastric tumor into the duodenum. After endoscopic reduction, endoscopic ultrasonography identified a hypoechogenic lesion limited to the submucosal layer. Endoscopic resection was performed as a localized treatment for the prevention of recurrent gastroduodenal intussusception. To our knowledge, there have been no other reports describing a gastric gastrointestinal stromal tumor presenting with gastroduodenal intussusception and treated using an endoscopic submucosal dissection technique.

摘要

一名95岁的日本女性因间歇性呕吐和多次黑便前来我院就诊。腹部计算机断层扫描显示胃肿瘤套叠入十二指肠。内镜复位后，内镜超声检查发现一个低回声病变，局限于黏膜下层。作为预防复发性胃十二指肠套叠的局部治疗方法，进行了内镜下切除。据我们所知，尚无其他报道描述胃胃肠道间质瘤表现为胃十二指肠套叠并采用内镜黏膜下剥离术进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/31e9fd3059cd/1349-7235-56-1515-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/c95bd80612c8/1349-7235-56-1515-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/3e21f0ef532a/1349-7235-56-1515-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/64c681e1a4a7/1349-7235-56-1515-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/c1c479c9f764/1349-7235-56-1515-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/31e9fd3059cd/1349-7235-56-1515-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/c95bd80612c8/1349-7235-56-1515-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/3e21f0ef532a/1349-7235-56-1515-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/64c681e1a4a7/1349-7235-56-1515-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/c1c479c9f764/1349-7235-56-1515-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c84/5505906/31e9fd3059cd/1349-7235-56-1515-g005.jpg

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Acute Pancreatitis and Gastroduodenal Intussusception Induced by an Underlying Gastric Gastrointestinal Stromal Tumor: A Case Report.潜在胃胃肠道间质瘤引发的急性胰腺炎和胃十二指肠套叠：一例报告
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