Partial Duodenal Obstruction Caused by an Impacted Gastritis Cystica Polyposa.
- Author:
Ju Hwan KIM
1
;
Chang Il KWON
;
Seung Won KOO
;
Kwang Ho YOO
;
Gwang Il KIM
;
So Young CHONG
;
Kwang Hyun KO
;
Sung Pyo HONG
Author Information
1. Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. endoscopy@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Gastritis cystica polyposa;
Duodenal obstruction;
Polypectomy
- MeSH:
Catheters;
Dilatation;
Duodenal Obstruction;
Duodenum;
Dyspepsia;
Endoscopy, Digestive System;
Gastritis;
Gastroenterostomy;
Humans;
Hyperplasia;
Male;
Middle Aged;
Neck;
SNARE Proteins;
Stomach;
Surgical Instruments
- From:Korean Journal of Gastrointestinal Endoscopy
2010;41(4):228-231
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastritis cystica polyposa is an uncommon lesion that usually occurs at the gastroenterostomy site, but it may also develop in the non-operated stomach. This malady is characterized by polypoid mucosal changes with hyperplasia and cystic dilatation of glands that infiltrate into the submucosal layer. We report here on a case of gastritis cystica polyposa that presented as a mass impacted in the duodenum in a 63-year-old male, and this patient had been admitted for evaluation of progressive epigastric fullness and dyspepsia. Esophagogastroduodenoscopy revealed that the partial duodenal obstruction was caused by impaction of a huge polypoid mass with a stalk that originated from the lower body of the stomach. We fished out the impacted mass with a forceps catheter while holding the neck with a snare catheter. Thereafter, an endoloop was applied to the stalk of mass, and this was followed by polypectomy using a snare catheter.
