scholarly journals Endoscopic resection of a large polypoid gastric heterotopia of duodenum: a case report

2021 ◽  
Vol 9 (8) ◽  
Author(s):  
Francesco Maione ◽  
Alessia Chini ◽  
Nicola Gennarelli ◽  
Marco Milone ◽  
Michele Manigrasso ◽  
...  
Author(s):  
Francesco Maione ◽  
Alessia Chini ◽  
Nicola Gennarelli ◽  
Marco Milone ◽  
Michele Manigrasso ◽  
...  

This is a case of gastric heterotopia, a benign condition most commonly found as multiple small polyps in the duodenal bulb, diagnosticated as a large polypoid lesion of the third duodenal portion in a young patient and treated successfully with endoscopic resection under laparoscopic vision.


2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 26-28
Author(s):  
S Nassiri ◽  
J S Emery ◽  
L H Lee

Abstract Background Gastric heterotopia (GH), indicates the presence of ectopic gastric tissue and is a rare entity outside of the small intestine. Abdominal pain and bleeding are described but most colonic GH is found incidentally. Aims We report a case of colonic GH found on routine screening colonoscopy. Methods Case report and review of the literature. Results Case Report: A 60-year-old woman with a history of alcohol use disorder, chronic Hepatitis C, and gastroesophageal reflux disease was referred for colonoscopy after a positive fecal immunochemical test. Remote colonoscopy was notable for a large tubular adenoma with low-grade dysplasia. The patient denied constitutional symptoms, change in bowel habits, or evidence of gastrointestinal (GI) bleeding. No family history of colorectal cancer was reported. Complete blood count, renal function, electrolytes, and carcinoembryonic antigen were normal. At colonoscopy, a 2 cm sessile polyp (0-Is Paris classification) was identified with a normal vascular pattern, but unclassifiable pit pattern. Submucosal injection was suboptimal suggesting tethering. However, given the history of previous polypectomy and favorable endoscopic appearance, piecemeal resection was attempted and achieved fair results. Histology showed abundant pyloric-type glands with overlying foveolar epithelium (Figure 1). Endoscopic follow-up at 8 months confirmed complete resection. Literature Review GH is observed throughout the GI tract but is predominantly seen in the esophagus and duodenum. Colonic involvement is uncommon with only 12 cases reported. Despite the lack of epidemiological studies, there is a male predominance across all age groups. Pathogenesis is thought to be either congenital, with deposition as the stomach descends during embryogenesis, or acquired secondary to metaplasia following injury to normal intestinal mucosa. Presenting complaints may include altered bowel habits or haematochezia, but most lesions are detected incidentally on surveillance colonoscopy. Endoscopic descriptions are diverse with variations in size (1-60mm), Paris classification (sessile or pedunculated), and appearance (erythematous patch, ulcer, or diverticulum). Endoscopic resection is recommended given association with bleeding but may be technically difficult due to submucosal involvement which may theoretically increase risk of complications such as perforation. Definitive diagnosis rests on histological examination. The risk of malignant transformation of GH in the colon is unknown with only two such cases reported. However, some propose the incidence of malignant change is underestimated as the growing tumor may eliminate the focus of heterotopic gastric mucosa. Conclusions GH in the colon is a rare entity with diverse endoscopic appearances and poorly understood natural history. Careful endoscopic resection is feasible in the absence of other high-risk endoscopic features. Funding Agencies None


2015 ◽  
Vol 36 (1) ◽  
pp. 115
Author(s):  
Shu DENG ◽  
Jing-hui LI ◽  
Tao SUN ◽  
Hua-lin YU ◽  
Yi-liu MA ◽  
...  

Author(s):  
Daniel Mathies ◽  
Tsuneo Oyama ◽  
Ingo Steinbrück ◽  
Franz Ludwig Dumoulin

Abstract Background Endoscopic resection is the treatment of choice for early esophageal cancers. However, resections comprising more than 70–80 % of the circumference are associated with a high risk of stricture formation. Currently, repetitive local injections and/or systemic steroids are given for prevention. Case report We present here the case of a 78-year-old male patient who had a near circumferential endoscopic submucosal dissection for a pT1a mm, L0, V0, R0, G2 esophageal squamous cell cancer. At the end of endoscopic resection, 80 mg of triamcinolone was injected locally. The patient was then treated with oro-dispersible budesonide tablets (2 × 1 mg/day) and nystatin (4 × 100 000 I.E.) for 8 weeks. This treatment resulted in complete healing without any stricture formation and did not result in any complications. Discussion Treatment with orodispersible budesonide tablets could help prevent strictures after large endoscopic resections in the esophagus.


2020 ◽  
Vol 87 (5) ◽  
pp. 294-298
Author(s):  
Miki Miyazawa ◽  
Takeshi Shimakawa ◽  
Shinichi Asaka ◽  
Kentaro Yamaguchi ◽  
Minoru Murayama ◽  
...  

2009 ◽  
Vol 123 (11) ◽  
Author(s):  
G X Papacharalampous ◽  
L Manolopoulos ◽  
S Korres ◽  
C Dicoglou ◽  
A Bibas

AbstractBackground:Adult laryngeal rhabdomyosarcomas are rare tumours commonly treated by laryngectomy.Case report:We present a case of subglottic laryngeal rhabdomyosarcoma in an elderly woman, treated by endoscopic resection.Conclusion:Despite the fact that this tumour is traditionally treated aggressively, this approach is not supported by the literature. Due to the varying biological behaviour of this tumour in adults, we believe that conservative surgical procedures or combination therapies should be preferred, rather than total laryngectomy.


2020 ◽  
Vol 76 ◽  
pp. 52-55
Author(s):  
Yara Alhomaidi ◽  
Riyadh Alokaili ◽  
Esam Albawardi ◽  
Naif H. Alotaibi

2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Akira Dobashi ◽  
Kenichi Goda ◽  
Noboru Yoshimura ◽  
Kazuki Sumiyama ◽  
Hirobumi Toyoizumi ◽  
...  

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