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胰腺功能不全与梅内特里耶病。一例对胰酶替代治疗有临床反应的病例报告。

Pancreatic insufficiency and Ménétrier's disease. Report of a case with clinical response to pancreatic enzyme replacement.

作者信息

Regan P T, Phillips S F, Dimagno E P

出版信息

Am J Dig Dis. 1978 Aug;23(8):759-62. doi: 10.1007/BF01072367.

DOI:10.1007/BF01072367
PMID:685946
Abstract

A patient with exocrine pancreatic insufficiency and hypoalbuminemic edema was shown also to have a protein-losing gastropathy secondary to giant hypertrophic gastritis (Ménétrier's disease). Despite continuation of excessive gastric protein loss, the manifestations of hypoproteinemia were reversed by oral pancreatic enzyme replacement therapy. We speculate that impaired intraluminal proteolysis exaggerated the consequences of gastric protein loss.

摘要

一名患有外分泌性胰腺功能不全和低蛋白血症性水肿的患者还被发现患有继发于巨大肥厚性胃炎(梅内特里尔病)的蛋白丢失性胃病。尽管持续存在大量胃蛋白丢失,但口服胰酶替代疗法使低蛋白血症的表现得到了逆转。我们推测管腔内蛋白水解受损加剧了胃蛋白丢失的后果。

相似文献

1
Pancreatic insufficiency and Ménétrier's disease. Report of a case with clinical response to pancreatic enzyme replacement.胰腺功能不全与梅内特里耶病。一例对胰酶替代治疗有临床反应的病例报告。
Am J Dig Dis. 1978 Aug;23(8):759-62. doi: 10.1007/BF01072367.
2
Hypertrophic gastropathy (Menetrier's disease) in childhood.
J Pediatr. 1971 May;78(5):866-8. doi: 10.1016/s0022-3476(71)80364-5.
3
Menetrier's disease in childhood.儿童梅内特里耶病。
J Pediatr. 1972 Feb;80(2):340-1. doi: 10.1016/s0022-3476(72)80617-6.
4
Surgical management of Menetrier's disease with protein-losing gastropathy.伴有蛋白丢失性胃病的梅内特里耶病的外科治疗
Ann Surg. 1975 May;181(5):765-77. doi: 10.1097/00000658-197505000-00036.
5
Spontaneous remission of protein-losing gastropathy associated with Menetrier's disease. A plea for conservative management.
Arch Intern Med. 1980 Jan;140(1):99-100.
6
[Giant hypertrophic gastritis (Ménétrier's disease) with malignant histiocytic lymphoma].[伴有恶性组织细胞淋巴瘤的巨大肥厚性胃炎(梅内特里耶病)]
Schweiz Rundsch Med Prax. 1973 Jun 19;62(25):794-7.
7
[On diagnosis and treatment of giant rugose gastropathy. Ménétrier's disease].[巨大皱襞性胃病(梅内特里耶病)的诊断与治疗]
Dtsch Med Wochenschr. 1968 Oct 25;93(43):2054-6 passim. doi: 10.1055/s-0028-1110878.
8
Menetrier's disease.梅内特里耶病。
Br Med J. 1979 Jan 20;1(6157):150.
9
Clinical and roentgenological signs of giant hypertrophic gastritis in childhood (Ménétrier's disease).儿童巨大肥厚性胃炎(梅内特里耶病)的临床及X线征象
Ann Radiol (Paris). 1967;10(3):221-5.
10
Haematemesis in Ménétrier's disease.梅内特里耶病中的呕血
Postgrad Med J. 1979 Oct;55(648):751-2. doi: 10.1136/pgmj.55.648.751.

引用本文的文献

1
Controversies in the treatment of exocrine pancreatic insufficiency.外分泌性胰腺功能不全治疗中的争议
Dig Dis Sci. 1982 Jun;27(6):481-4. doi: 10.1007/BF01296724.

本文引用的文献

1
Plasma proteins and the gastrointestinal tract.血浆蛋白与胃肠道
N Engl J Med. 1962 Mar 29;266:652-60. doi: 10.1056/NEJM196203292661307.
2
Giant hypertrophic gastritis.巨大肥厚性胃炎
Am J Surg. 1959 Oct;98:584-92. doi: 10.1016/0002-9610(59)90041-8.
3
ON HYPERTROPHIC GLANDULAR GASTRITIS, HYPERTROPHIC GASTROPATHY, AND PARIETAL CELL MASS.关于肥厚性腺性胃炎、肥厚性胃病与壁细胞量
Gastroenterology. 1963 Jul;45:77-83.
4
The mechanism of hypoproteinemia associated with giant hypertrophy of the gastric mucosa.与胃黏膜巨大肥厚相关的低蛋白血症机制。
N Engl J Med. 1957 Nov 7;257(19):906-12. doi: 10.1056/NEJM195711072571902.
5
Menetrier's disease. Spontaneous metamorphosis of giant hypertrophy of the gastric mucosa to atrophic gastritis.
Gastroenterology. 1967 Dec;53(6):953-60.
6
Concentration of gastric-juice proteins in a patient with Menetrier's disease. Report of a case.一名患有梅内特里耶病患者的胃液蛋白质浓度。病例报告。
Am J Dig Dis. 1967 Jan;12(1):98-103. doi: 10.1007/BF02235233.
7
Incidence and severity of nutritional deficiency states in chronic exocrine pancreatic insufficency: comparison with nontropical sprue.慢性外分泌性胰腺功能不全时营养缺乏状态的发生率及严重程度:与非热带性口炎性腹泻的比较
Am J Dig Dis. 1966 Aug;11(8):594-606. doi: 10.1007/BF02233507.
8
Protein-losing enteropathy.蛋白丢失性肠病
Gastroenterology. 1966 Mar;50(3):422-43.
9
The role of the gastrointestinal tract in plasma protein metabolism. Studies with 51Cr-albumin.胃肠道在血浆蛋白代谢中的作用。用51铬标记白蛋白的研究。
Am J Med. 1969 Feb;46(2):275-85. doi: 10.1016/0002-9343(69)90011-4.
10
Clinical and morphological studies of giant hypertrophic gastritis (Ménétrier's disease).巨大肥厚性胃炎(梅内特里耶病)的临床与形态学研究
Acta Med Scand. 1974 Apr;195(4):247-52. doi: 10.1111/j.0954-6820.1974.tb08133.x.