Lenner V, Stahlschmidt M, Wagner R, Neher M
Med Klin. 1977 Feb 25;72(8):319-25.
Clinical pathology of Ménétrier's disease is reviewed and 3 own cases are presented. All symptoms are unspecific exception made for the enteral protein loss. Roentgenologic and endoscopic appearance contribute to the diagnostic but only histologic examination is decisive. Gastrointestinal bleeding, acute pyloric stenosis, profuse albumin loss are all clear indications for an operation, but also the possibility of malignancy should be kept in mind. Resection should include all abnormal parts of the stomach. Recurrency of the Ménétrier's disease is only known after incomplete resection.
本文回顾了门脉高压性胃病的临床病理学,并介绍了3例自身病例。除肠蛋白丢失外,所有症状均无特异性。放射学和内镜表现有助于诊断,但只有组织学检查才具有决定性意义。胃肠道出血、急性幽门狭窄、大量白蛋白丢失都是手术的明确指征,但也应考虑恶性肿瘤的可能性。切除应包括胃的所有异常部分。门脉高压性胃病仅在不完全切除后才会复发。