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Partial Duodenal Obstruction Caused by an Impacted Gastritis Cystica Polyposa  

Kim, Ju-Hwan (Department of Internal Medicine, CHA Bundang Medical Center, CHA University)
Kwon, Chang-Il (Department of Internal Medicine, CHA Bundang Medical Center, CHA University)
Koo, Seung-Won (Department of Internal Medicine, CHA Bundang Medical Center, CHA University)
Yoo, Kwang-Ho (Department of Internal Medicine, CHA Bundang Medical Center, CHA University)
Kim, Gwang-Il (Department of Pathology, CHA Bundang Medical Center, CHA University)
Chong, So-Young (Department of Internal Medicine, CHA Bundang Medical Center, CHA University)
Ko, Kwang-Hyun (Department of Internal Medicine, CHA Bundang Medical Center, CHA University)
Hong, Sung-Pyo (Department of Internal Medicine, CHA Bundang Medical Center, CHA University)
Publication Information
Clinical Endoscopy / v.41, no.4, 2010 , pp. 228-231 More about this Journal
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.
Keywords
Gastritis cystica polyposa; Duodenal obstruction; Polypectomy;
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