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Endoscopic Treatment of Jejunal Heterotopic Gastric Mucosa that Caused Recurrent Intussusception
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Ke Ryun Ahn, Ja Seol Koo, Hwan Il Kim, Ji Hye Kim, Jee Hyun Lee, Seung Young Kim, Sung Woo Jung, Sang Woo Lee
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Clin Endosc 2017;50(6):605-608. Published online October 18, 2017
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DOI: https://doi.org/10.5946/ce.2017.026
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Abstract
PDFPubReaderePub
- Heterotopic gastric mucosa (HGM) is a rare anomaly in the small bowel and may be the cause of intussusception when it gets a lead point in the jejunum. All cases of intussusception due to intestinal HGM have been treated with surgical resection. A 5-year-old girl presented with chief complaints of vomiting and abdominal pain for 2 weeks. A computed tomography scan of the abdomen showed intussusception at the proximal jejunal loops. Three air reductions and one saline reduction were attempted without success. She continued to be symptomatic, and endoscopic evaluation was performed. Enteroscopy revealed some variable-sized polypoid mucosal lesions with erosions on the proximal jejunum. Endoscopic mucosal resection was performed using a snare. The resected tissues histologically showed a hyperplastic polyp arising from the HGM. Her symptoms did not recur within 1 year after the treatment. Our case showed that enteroscopy could be useful for the diagnosis and management of jejunal intussusception caused by HGM.
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Citations
Citations to this article as recorded by
- Endoscopic Mucosal Resection in Children
David S. Vitale, Kelly Wang, Laith H. Jamil, Kenneth H. Park, Quin Y. Liu Journal of Pediatric Gastroenterology and Nutrition.2022; 74(1): 20. CrossRef - Life-threatening gastrointestinal bleeding caused by jejunal heterotopic gastric mucosa in an adult dog: a rare case report
Roxana Merca, Barbara Richter BMC Veterinary Research.2022;[Epub] CrossRef - Rare polypoid gastric mucosa induced small bowel intussusception in a toddler
Brianna M. Bowman, Suy sen Hung Fong, Joel M. Prince, Subhasis Misra, Thomas Abbruzzese, Drew Rideout Journal of Pediatric Surgery Case Reports.2022; 87: 102476. CrossRef - Intraoperative Endoscopy in Transient Adult Jejunojejunal Intussusception
Takeshi Okamoto, Hidekazu Suzuki, Katsuyuki Fukuda, Yoshihiro Moriwaki Case Reports in Gastrointestinal Medicine.2021; 2021: 1. CrossRef - Heterotopic Gastric Mucosa in Adolescent Girl
Esra Polat, Rahşan Özcan, Nuray Kepil, Mine Güllüoğlu, Sevinç Kalin Journal of Pediatric Gastroenterology and Nutrition.2020;[Epub] CrossRef - Jejunal Polyps out of Place: A Case of Gastric Heterotopia of the Jejunum
Siri A. Urquhart, Nayantara Coelho-Prabhu Case Reports in Gastrointestinal Medicine.2020; 2020: 1. CrossRef - Heterotopic Gastric Mucosa Presenting as Lower Gastrointestinal Bleeding: An Unusual Case Report
Syed Muhammad Ali, Ayman Abdelhafiz Ahmed, Leena Amin Hussain Saaid, Gihan Mustafa Kamal Mohamed, Amjad Ali Shah, Mohannad Al-Tarakji, Zia Aftab, Inamulla, Sameera Rashid Case Reports in Surgery.2019; 2019: 1. CrossRef
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Simultaneous Esophageal and Gastric Metastases from Lung Cancer
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Jae Yong Park, Seung Wook Hong, Joo Young Lee, Ji Hye Kim, Jin Woo Kang, Hyun Woo Lee, Jong Pil Im
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Clin Endosc 2015;48(4):332-335. Published online July 24, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.4.332
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Abstract
PDFPubReaderePub
We report of a patient with metastatic adenocarcinoma of the esophagus and stomach from lung cancer. The patient was a 68-year-old man receiving radiotherapy and chemotherapy for stage IV lung cancer, without metastases to the gastrointestinal (GI) tract at the time of the initial diagnosis. During the treatment period, dysphagia and melena newly developed. Upper GI endoscopy revealed geographic erosion at the distal esophagus and multiple volcano-shaped ulcers on the stomach body. Endoscopic biopsy was performed for each lesion. To determine whether the lesions were primary esophageal and gastric cancer masses or metastases from the lung cancer, histopathological testing including immunohistochemical staining was performed, and metastasis from lung cancer was confirmed. The disease progressed despite chemotherapy, and the patient died 5 months after the diagnosis of lung cancer. This is a case report of metastatic adenocarcinoma in the esophagus and stomach, which are very rare sites of spread for lung cancer.
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Citations
Citations to this article as recorded by
- Gastric Metastasis of Primary Lung Cancer: Case Report and Systematic Review With Pooled Analysis
Dong Tang, Jianjian Lv, Zhijing Liu, Shuhui Zhan, Yuqiang Gao Frontiers in Oncology.2022;[Epub] CrossRef - Lung cancer metastasis to the gastrointestinal system: An enigmatic occurrence
Kanthi Rekha Badipatla, Niharika Yadavalli, Trupti Vakde, Masooma Niazi, Harish K Patel World Journal of Gastrointestinal Oncology.2017; 9(3): 129. CrossRef
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A Submucosal Tumor-Like Recurrence of Early Esophageal Cancer after Endoscopic Submucosal Dissection
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Jeong Cheon Choi, Gwang Ha Kim, Do Youn Park, Hyeog Gyu Seoung, Yong Jae Lee, Ji Hye Kim, Tae Kyun Kim, Hoseok I
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Clin Endosc 2013;46(2):182-185. Published online March 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.2.182
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Abstract
PDFPubReaderePub
Early esophageal cancer is defined as a tumor invading the mucosa with or without lymph node or distant organ metastasis. In the current guidelines for early esophageal cancer, absolute indication for endoscopic resection include lesions limited to the epithelium or lamina propria mucosa not exceeding two-thirds of the circumference, and relative indications include lesions limited to the muscularis mucosa or the upper third of the submucosal layer and not accompanied by clinical evidence of lymph node metastasis. After endoscopic submucosal dissection for early esophageal cancer, locally recurrent cancer can occur, especially in the case of incomplete resection. Here, we report a rare case of a submucosal tumor-like recurrence after endoscopic resection of early esophageal cancer.
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Citations
Citations to this article as recorded by
- Long-Term Outcome after Endoscopic Submucosal Dissection in Patients with Superficial Esophageal Squamous Cell Carcinoma: A Single-Center Study
Dong Chan Joo, Gwang Ha Kim, Do Youn Park, Joon Hyung Jhi, Geun Am Song Gut and Liver.2014; 8(6): 612. CrossRef
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Esophageal Pyogenic Granuloma: Endosonographic Findings and Endoscopic Treatments
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Hyeog Gyu Seoung, Gwang Ha Kim, Geun Am Song, Ji Hye Kim, Min Young Oh, Jeong Cheon Choi, Jung Hee Koh, Chang Jun Park
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Clin Endosc 2013;46(1):81-84. Published online January 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.1.81
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Abstract
PDFPubReaderePub
Pyogenic granuloma is a benign inflammatory vascular lesion, mainly found in the skin and oral mucosa. A few cases of pyogenic granuloma in the gastrointestinal tract have been reported, and the esophagus was the main site in these cases. These patients were diagnosed with pyogenic granuloma after they underwent upper endoscopy and biopsy. Endoscopic resection is a favorable treatment option for esophageal pyogenic granuloma. Recently, we observed characteristic endosonographic findings in two cases with esophageal pyogenic granuloma, which were then treated successfully by endoscopic resection.
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Citations
Citations to this article as recorded by
- Esophageal pyogenic granuloma resected by polypectomy using a detachable snare
Hiroyoshi Iwagami, Yusuke Hanawa, Takuji Akamatsu JGH Open.2021; 5(12): 1398. CrossRef - Endoscopic Mucosal Resection of a Proximal Esophageal Pyogenic Granuloma
Elias Estifan, Varun Patel, Matthew Grossman Case Reports in Gastrointestinal Medicine.2019; 2019: 1. CrossRef - Esophageal Pyogenic Granuloma: A Case Report and Review of the Literature
David A. Suarez-Zamora, Paula A. Rodriguez-Urrego, Jaime Solano-Mariño, Fernando Sierra-Arango, Mauricio A. Palau-Lazaro International Journal of Surgical Pathology.2018; 26(8): 735. CrossRef - Pyogenic Granuloma of the Esophagus
Jingrun Zhao, Qian Feng, Sha Shi Clinical Gastroenterology and Hepatology.2017; 15(12): e177. CrossRef - Unusual Esophageal Mass as a Cause of Dysphagia
Ji Han Yu, Kyung-Jin Seo, Young-Seok Cho Gastroenterology.2016; 150(4): e1. CrossRef - Gastrointestinal Pyogenic Granuloma (Lobular Capillary Hemangioma): An Underrecognized Entity Causing Iron Deficiency Anemia
Marshall W. Meeks, Umar M. Kamal, Muhammad B. Hammami, Jason R. Taylor, M. Louay Omran, Yongxin Chen, Jin-Ping Lai Case Reports in Gastrointestinal Medicine.2016; 2016: 1. CrossRef - Morphological Changes in a Pyogenic Granuloma of the Esophagus Observed over Three Years
Masaya Iwamuro, Hiroyuki Okada, Takehiro Tanaka, Keisuke Hori, Masahide Kita, Seiji Kawano, Yoshiro Kawahara, Kazuhide Yamamoto Internal Medicine.2015; 54(14): 1737. CrossRef - Clinical and endoscopic features of gastric pyogenic granuloma
Cheng‐Yu Lin, Yi‐Chung Hsieh, Chen‐Ming Hsu, Yin‐Yi Chu, Huei‐Chung Yeh, Tai‐Di Chen, Cheng‐Tang Chiu Advances in Digestive Medicine.2014; 1(4): 118. CrossRef
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