scholarly journals Primary Duodenal Mucosa-Associated Lymphoid Tissue (Malt) Lymphoma – a Rare Presentation of Gastric Outlet Obstruction

2007 ◽  
Vol 21 (6) ◽  
pp. 393-395 ◽  
Author(s):  
Tamar Tadmor ◽  
Tova Rainis ◽  
Jacob Bejar ◽  
Dina Attias ◽  
Alexandra Lavy
Keyword(s):  
Small Intestine ◽  
Malignant Lymphoma ◽  
Malt Lymphoma ◽  
Gastric Outlet Obstruction ◽  
Lymphoid Tissue ◽  
Outlet Obstruction ◽  
Duodenal Mucosa ◽  
Rare Presentation ◽  
Rare Neoplasm ◽  
The Third

Malignant lymphoma of mucosa-associated lymphoid tissue (MALT) can arise in a variety of anatomical sites. The majority of these tumors arise in the stomach, with fewer than 30% arising in the small intestine. Primary duodenal MALT lymphoma is a very rare neoplasm. There are very few cases of duodenal MALT lymphoma reported in the literature. This is the third published case presenting clinically as a gastric outlet obstruction. The patient was successfully treated with a combination of chemotherapy and rituximab.

scholarly journals A case of gastric and duodenal mucosa-associated lymphoid tissue lymphoma with multiple gastric cancers: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Takashi Yokoyama ◽  
Tetsuya Tanaka ◽  
Suzuka Harada ◽  
Takeshi Ueda ◽  
Goki Ejiri ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Malt Lymphoma ◽  
Lymphoid Tissue ◽  
Regional Lymph Node ◽  
Duodenal Bulb ◽  
Duodenal Mucosa ◽  
Upper Endoscopy ◽  
Gastric Cancers ◽  
Regional Lymph Node Dissection ◽  
H Pylori

Abstract Background Gastric mucosa-associated lymphoid tissue (MALT) lymphoma is often caused by Helicobacter pylori and has a good prognosis. Rarely, patients with MALT lymphoma may have gastric cancer and have a poor prognosis. Case presentation We herein report a case in which surgical treatment was achieved for a 72-year-old male patient with gastric and duodenal MALT lymphoma coexisting multiple gastric cancers. He underwent upper endoscopy for epigastric discomfort, which revealed mucosal erosion on the posterior wall of the middle body of the stomach, an elevated lesion on the duodenal bulb, and a raised tumor on the antrum of the stomach. He was diagnosed with gastric and duodenal MALT lymphoma with early gastric cancer. One month after H. pylori eradication, a second upper endoscopy revealed no improvement in the gastric or duodenal mucosa, and areas of strong redness with a shallow recess just below the cardia of the stomach. As a result, a diagnosis of gastric and duodenal MALT lymphoma with two gastric cancers was made. Total gastrectomy with proximal duodenum resection using intraoperative upper endoscopy and regional lymph node dissection was performed. Pathologically, gastric and duodenal MALT lymphoma and three gastric cancers were detected. Since one of them was an advanced cancer, he started taking S-1 after his general condition improved. Conclusion For early detection of gastric and duodenal MALT lymphoma or gastric cancer, appropriate upper endoscopy and a biopsy are important. It is necessary to select a suitable treatment, such as H. pylori eradication, endoscopic treatment, surgery, chemotherapy, and irradiation, according to the disease state.

Gastric outlet obstruction with perforation. A rare presentation of left-sided adult Morgagni hernia

2017 ◽  
Vol 89 (2) ◽  
pp. 114-116 ◽  
Author(s):  
Shamita Chatterjee ◽  
Arnab Mitra ◽  
Rajib Datta ◽  
Sayan Dev Nayak
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Morgagni Hernia ◽  
Rare Presentation

Clinical outcomes in patients undergoing multiple self-expandable metallic stent placement by stent in stent technique for malignant gastric outlet obstruction.

2019 ◽  
Vol 37 (4_suppl) ◽  
pp. 88-88
Author(s):  
Jinwon MO ◽  
Jie-Hyun Kim ◽  
Seung Yong Shin ◽  
Da Hyun Jung ◽  
Jae Jun Park ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Stent Placement ◽  
Clinical Success ◽  
Outlet Obstruction ◽  
Metallic Stent ◽  
Sems Placement ◽  
Stent Patency ◽  
Malignant Gastric Outlet Obstruction ◽  
The Third ◽  
Expandable Metallic Stent

88 Background: Self-expandable metallic stent (SEMS) placement is widely used for relieving the obstructive symptoms of malignant gastric outlet obstruction (MGOO). The aims were to evaluate the efficacy and safety of multiple gastroduodenal stent placement by stent in stent technique and identify predictive factors about stent patency. Methods: We retrospectively analyzed data from 170 patients with GOO receiving SEMS by stent in stent technique from July 2006 to July 2018. Among them, 90 patients had been treated with gastroduodenal SEMS placement for MGOO. Technical and clinical success rates were evaluated. And, clinical outcomes with predictors of stent patency were also analyzed. Results: Among the subjects, 34.4% were treated with secondary SEMS placement, and 9.7% were treated with third SEMS placement because of the previous stent dysfunction. The median stent patency time was 15.7 weeks (range 0-89) in the first SEMS, 10.4 weeks (range 0-44) in the second SEMS, and 11.3 weeks (range 1-29) in the third SEMS. The technical and clinical success rate were 100% and 97.8% in the first SEMS, 100% and 90.3% in the second SEMS, 100% and 100% in the third SEMS. In multivariable analysis, the first SEMS placement of covered type including Comvi stent was correlated with prolonged stent patency (OR 4.549, P = 0.001). And both chemotherapy after the first SEMS placement (OR 8.248, P = 0.006) and chemotherapy after the second SEMS placement (OR 7.467, P = 0.003) were correlated with prolonged stent patency. Serious complications such as gastrointestinal hemorrhage or perforation did not occur in any patient. Conclusions: Secondary and third gastroduodenal SEMS placement by stent in stent technique is a safe and effective treatment for the first stent dysfunction in MGOO. The stent placement of covered type and chemotherapy after stent placement is the predictor of stent patency. Keywords: Malignant gastric outlet obstruction, Self-expandable metallic stent, Stent in stent technique, Stent patency, Predictive factor

scholarly journals GASTRIC OUTLET OBSTRUCTION: A RARE PRESENTATION OF ABDOMINAL TUBERCULOSIS

2015 ◽  
Vol 04 (16) ◽  
pp. 2833-2836
Author(s):  
Balai Chandra Karmakar ◽  
Pradip Prava Paria ◽  
Ramesh Chandra Halder ◽  
Debasree Guha ◽  
Amit Kumar Das
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Abdominal Tuberculosis ◽  
Rare Presentation

scholarly journals A rare presentation of gastric outlet obstruction (GOO) – The Bouveret's syndrome

2015 ◽  
Vol 4 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Dheer singh kalwaniya ◽  
S.V. Arya ◽  
Soumya Guha ◽  
Manigandan Kuppuswamy ◽  
Jasneet G. Chaggar ◽  
...  
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Bouveret’S Syndrome ◽  
Rare Presentation ◽  
Bouveret's Syndrome

scholarly journals Wandering spleen in a geriatric patient – a rare presentation of gastric volvulus

JRSM Open ◽  
2019 ◽  
Vol 10 (6) ◽  
pp. 205427041985132
Author(s):  
Christy Gandhi ◽  
Rachel L Fowler ◽  
Sean Hersey ◽  
Daithi S Heffernan ◽  
Todd Stafford
Keyword(s):  
Gastric Outlet Obstruction ◽  
Geriatric Patient ◽  
Gastric Volvulus ◽  
Outlet Obstruction ◽  
Wandering Spleen ◽  
Rare Presentation

We report atypical gastric outlet obstruction in a geriatric patient caused by acute mesenteroaxial gastric volvulus precipitated by a wandering spleen.

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