Khan Aadil, Chhaparia Anuj, Hammami Muhammad B, Hachem Christine
Internal Medicine: Gastroenterology, Saint Louis University School of Medicine, St. Louis, USA.
Internal Medicine, Saint Louis University School of Medicine, St. Louis, USA.
Cureus. 2020 Nov 16;12(11):e11515. doi: 10.7759/cureus.11515.
Menetrier's disease (MD) is a rare disease characterized macroscopically by gastric rugae thickening and microscopically by foveolar hyperplasia with glandular atrophy, resulting in luminal protein loss. Different treatment strategies, including antibiotics, prednisone, octreotide, and monoclonal antibodies, have yielded varying degrees of success. Here, we present a rare complication of MD with a gastric outlet obstruction from a large adenoma. However, prior to this complication, dramatic clinical and laboratory improvements were observed after 12 months of treatment with subcutaneous octreotide. We also present a review of the literature for the role of octreotide in the treatment of MD.
梅内特里耶病(MD)是一种罕见疾病,宏观上以胃皱襞增厚为特征,微观上以小凹增生伴腺体萎缩为特征,导致管腔蛋白丢失。不同的治疗策略,包括抗生素、泼尼松、奥曲肽和单克隆抗体,取得了不同程度的成功。在此,我们报告1例MD的罕见并发症,因巨大腺瘤导致胃出口梗阻。然而,在出现这一并发症之前,皮下注射奥曲肽治疗12个月后,临床和实验室检查结果有显著改善。我们还对奥曲肽在MD治疗中的作用进行了文献综述。