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胃底息肉脱垂导致胃十二指肠套叠及急性胰腺炎。

Prolapsed fundic gastric polyp causing gastroduodenal intussusception and acute pancreatitis.

作者信息

Jetha Zishan, Lisi Michael

机构信息

Division of General Surgery, University of Toronto, Toronto, Canada.

McMaster University, Hamilton, Canada.

出版信息

J Surg Case Rep. 2018 Jul 3;2018(7):rjy139. doi: 10.1093/jscr/rjy139. eCollection 2018 Jul.

DOI:10.1093/jscr/rjy139
PMID:29992001
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6030949/
Abstract

An 86-year-old female presented with a 6-month history of recurrent intermittent epigastric abdominal pain, postprandial fullness with nausea, vomiting, anemia and a 15-pound weight loss. A large fundic gastric polyp was intussuscepting into the duodenum causing intermittent compression and obstruction of the ampulla of Vater leading to acute pancreatitis. An overview of the clinical presentation, diagnosis and management of this entity, in addition to a review of the literature is provided.

摘要

一名86岁女性,有6个月反复间歇性上腹部腹痛病史,伴有餐后饱胀、恶心、呕吐、贫血及体重减轻15磅。一个巨大的胃底息肉套叠入十二指肠,导致十二指肠乳头间歇性受压和梗阻,进而引发急性胰腺炎。本文除了对文献进行综述外,还对该疾病的临床表现、诊断及治疗进行了概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5a4/6030949/2ecd77fe6d85/rjy139f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5a4/6030949/2ecd77fe6d85/rjy139f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5a4/6030949/2ecd77fe6d85/rjy139f01.jpg

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本文引用的文献

1
Gastric pyloric gland adenoma.胃幽门腺腺瘤
Arch Pathol Lab Med. 2015 Jun;139(6):823-6. doi: 10.5858/arpa.2013-0613-RS.
2
Gastroduodenal Intussusception, Intermittent Biliary Obstruction and Biochemical Pancreatitis due to a Gastric Hyperplastic Polyp.胃十二指肠套叠、间歇性胆管梗阻及胃增生性息肉所致生化性胰腺炎
Case Rep Gastroenterol. 2014 Nov 22;8(3):371-6. doi: 10.1159/000369548. eCollection 2014 Sep-Dec.
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Prevalence of benign gastric polyps in a large pathology database.大型病理数据库中胃良性息肉的患病率。
胃肠道间质瘤致胃十二指肠套叠:急性胰腺炎的罕见病因
Clin Endosc. 2022 May;55(3):447-451. doi: 10.5946/ce.2021.073. Epub 2021 Jun 22.
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Adult bowel intussusception: presentation, location, etiology, diagnosis and treatment.成人肠套叠:临床表现、部位、病因、诊断与治疗
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Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp.因胃窦部息肉脱垂导致间歇性胃出口梗阻。
World J Gastrointest Oncol. 2010 May 15;2(5):242-6. doi: 10.4251/wjgo.v2.i5.242.
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Intussusception in adult and pediatric patients: two different entities.成人和儿童患者的肠套叠:两种不同的病症。
Surg Today. 2009;39(10):861-5. doi: 10.1007/s00595-009-3979-8. Epub 2009 Sep 27.
7
The current spectrum of gastric polyps: a 1-year national study of over 120,000 patients.胃息肉的当前谱:一项针对超过12万名患者的全国性为期1年的研究。
Am J Gastroenterol. 2009 Jun;104(6):1524-32. doi: 10.1038/ajg.2009.139. Epub 2009 Apr 28.
8
Endoscopic excision of a prolapsing malignant polyp which caused intermittent gastric outlet obstruction.内镜下切除导致间歇性胃出口梗阻的脱垂恶性息肉。
World J Gastroenterol. 2005 Sep 7;11(33):5245-7. doi: 10.3748/wjg.v11.i33.5245.
9
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