Dual Transoral Endoscopic Resection of a Symptomatic Giant Brunneroma
| Autor: | M.C. Sulz, M. Thurnheer, C. Meyenberger |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | Case Reports in Gastroenterology, Vol 3, Iss 2, Pp 260-264 (2009) |
| Druh dokumentu: | article |
| ISSN: | 1662-0631 00023523 |
| DOI: | 10.1159/000235236 |
| Popis: | Brunneroma is a rare, benign, proliferative lesion arising from the Brunner’s glands of the duodenum that exceptionally may evolve towards a malignant transformation, usually discovered incidentally at endoscopy. Occasionally, these lesions manifest as a rare cause of duodenal obstruction or upper gastrointestinal bleeding and require resection, usually for tumors larger than 4 cm. The special aspect of our case is the technically difficult but successful dual transoral endoscopic resection of a giant (6.5 × 4 × 2.4 cm) brunneroma with a very thick and long peduncle located extremely close to the pylorus, highlighting the possibilities of endosurgery. Distal stomach resection with Roux-en-Y reconstruction as an alternative would have caused higher morbidity and costs. |
| Databáze: | Directory of Open Access Journals |
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