scholarly journals A Case of Laparoscopy-Assisted Endoscopic Mucosal Resection for Giant Brunner’s Gland Hyperplasia Occupying the Duodenal Bulb

Author(s):  
Sho Kotake ◽  
Kiyoaki Taniguchi ◽  
Akiko Serizawa ◽  
Shunichi Ito ◽  
Kazuomi Suzuki ◽  
...  
2019 ◽  
Vol 31 (4) ◽  
pp. 462-462 ◽  
Author(s):  
Katsunori Matsueda ◽  
Ryuta Takenaka ◽  
Hiroyuki Okada

2018 ◽  
Vol 19 (3) ◽  
pp. 125-129 ◽  
Author(s):  
Yusuke Kitagawa ◽  
Hiroki Osumi ◽  
Hiroshi Kawachi ◽  
Toshiyuki Yoshio ◽  
Shoichi Yoshimizu ◽  
...  

Endoscopy ◽  
2021 ◽  
Author(s):  
Hugo Uchima ◽  
Alberto Diez-Caballero ◽  
Jaume Capdevila ◽  
Mercé Rosinach ◽  
Alfredo Mata ◽  
...  

2016 ◽  
Vol 49 (6) ◽  
pp. 570-574 ◽  
Author(s):  
Ju Hyoung Lee ◽  
Kyeong Min Jo ◽  
Tae Oh Kim ◽  
Jong Ha Park ◽  
Seung Hyun Park ◽  
...  

1984 ◽  
Vol 29 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Toru Nakanishi ◽  
Tadashi Takeuchi ◽  
Kazuo Hara ◽  
Akitoshi Sugimoto

1992 ◽  
Vol 53 (8) ◽  
pp. 1897-1901
Author(s):  
Hiroaki HARUGUCHI ◽  
Hiroshi HONDA ◽  
Taketoshi HAYASHI ◽  
Tomoaki HOSHINO ◽  
Sumihiko SATOH ◽  
...  

2021 ◽  
Vol 51 (3) ◽  
Author(s):  
Karina Yonamine ◽  
Cecilia Curvale ◽  
Raul Matanó ◽  
Alejandro Hensel ◽  
María Fernanda Yankowyez

Brunner's gland hamartoma or hyperplasia is a rare benign neoplasm of the small intestine, usually small, that is discovered incidentally on an upper digestive endoscopy or imaging tests. When it reaches a large size, it can cause digestive bleeding or intestinal obstruction. The pathogenesis is unknown. The endoscopic presentation can be nodular, polypoid or a diffuse glandular proliferation with thickening of the duodenal wall, and may be mistaken for a malignant neoplasm. Endoscopic resections of large Brunner's gland hamartomas in the duodenum is little reported in literature, due to its low incidence and diagnostic difficulty. The surgical approach is associated to greater morbidity compared to an endoscopic approach. The case of a 62-year-old patient is reported, who presented melena and symptomatic anemia, secondary to a giant polyp in the duodenal bulb. The polyp was successfully resected endoscopically without complications, which made it possible to avoid a more extensive surgical procedure. Histopathological examination of the whole specimen showed a Brunner's gland hamartoma. Conclusion: Brunner's gland hyperplasia or hamartoma is a benign neoplasm that rarely produces symptoms. Large lesions can become symptomatic and a high clinical-endoscopic suspicion and an evaluation of the extension are necessary before applying any therapeutic procedure, in order to avoid complex surgeries and favor a complete and safe endoscopic resection.


2018 ◽  
Vol 12 (2) ◽  
pp. 344-351
Author(s):  
Annalisa Pasetti ◽  
Elvira Capoferro ◽  
Giulia Querzoli ◽  
Renzo Montanari ◽  
Paolo Bocus

Brunner’s gland hamartoma (BGH) is an uncommon benign tumor arising from alkaline-based mucin-secreting glands of the duodenum. These lesions are typically discovered incidentally during upper gastrointestinal endoscopy or radiological diagnostics, even though they can eventually lead (in the case of increasing size) to obstructive or hemorrhagic symptoms. We report the case of a 67-year-old Caucasian man with two episodes of melena and epigastric pain during the last month. Esophagogastroduodenoscopy revealed a large pedunculated and eroded polyp inside the antrum with a 2-cm-long stalk arising from the anterior wall of the duodenal bulb. Endoscopic ultrasonography showed a submucosal lesion with homogeneous hyperechoic parietal thickening and some central gaps. The muscularis was undamaged. No lymphadenopathy was observed. We performed an en bloc endoscopic resection of the polyp. The size of the whole piece was approximately 6 × 3 × 2 cm, pseudocapsulated and tough in consistency. In the case presented, the en bloc endoscopic removal was successful despite the size of the tumor.


2010 ◽  
Vol 7 (5) ◽  
pp. 289-293
Author(s):  
Hua Li ◽  
Qiang Li ◽  
De-jun Zhou ◽  
Jian-zhang Hu ◽  
Guo-qing Zhang ◽  
...  

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