Korean Journal of Gastrointestinal Endoscopy 1998;18(2): 239-243.
증례 : 식도 위장관 ; 거대 십이지장 브루너선종의 Detachable Snare 를 이용한 제거 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Endoscopic Polypectomy with a Detachable Snare in a Huge Duodenal Brunner's Gland Adenoma )
박재선, 김희숙, 손홍주, 진성림, 안진철, 문정섭, 전영빈, 유권 (Jae Sun Park, Hee Sook Kim, Hong Ju Sohn, Seong Lim Jin, Jin Cheol Ahn, Jeong Seop Moon, Young Bin Jeon and Kwon Yoo)
Abstract
Duodenal Brunner's gland adenoma is characterized by hyperplasia of the Brunner's gland, which is usually found in a duodenal bulb as a pedunculated polypoid mass. Conservative management is advocated for asymptomatic small lesions, but in larger lesions causing obstructive symptoms or bleeding, either endoscopic or surgical removal of the mass should be performed. But an endoscopic polypectomy for a huge mass lesion, especially one having a broad base, runs the risk of bleeding, so to minimize this complication, detachable snare is used before the polypectomy. We have experienced a case of huge duodenal Brunner's gland adenoma was successfully removed by an endoscopic polypectomy with a detachable snare, in a patient with recurrent upper gastrointestinal bleeding. (Korean J Gastrointest Endosc 18: 239-243, 1998)
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