Eugene C, Penalba C, Gompel H, Bergue A, Felsenheld C, Fingerhut A, Quevauvilliers J
Sem Hop. 1983 Sep 15;59(32):2249-50.
Two ulcerated, sessile, gastric eosinophilic granulomas, measuring 5 and 10 mm in diameter, were diagnosed by endoscopic polypectomy (accurate prior forceps biopsy had not established accurate diagnosis). The patients, aged 76 and 74 years, had anemia and epigastric pain respectively. None of the usual etiologies (parasitic, chemical, traumatic and ulcerous) were found. Survival, clinical symptoms and location were similar to data reported in the literature, which are briefly reviewed. The value of endoscopic polypectomy is emphasized. With this procedure, pedunculated forms can be treated and sessile forms diagnosed, thus avoiding a useless gastrectomy and its hazards in these elderly patients.
通过内镜下息肉切除术诊断出两个直径分别为5毫米和10毫米的溃疡性、无蒂胃嗜酸性肉芽肿(之前准确的钳取活检未能确诊)。两名患者年龄分别为76岁和74岁,分别患有贫血和上腹部疼痛。未发现常见病因(寄生虫、化学、创伤和溃疡)。其生存情况、临床症状和发病部位与文献报道的数据相似,本文对此进行简要回顾。强调了内镜下息肉切除术的价值。通过该手术,可以治疗有蒂型病变并诊断无蒂型病变,从而避免在这些老年患者中进行不必要的胃切除术及其风险。