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KMID : 0359020090390010038
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.39 No. 1 p.38 ~ p.41
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A Case of Brunner’s Gland Adenoma Causing a Ball-valve Obstruction: Endoscopic Treatment with a Simple Method of Endoclip-assisted Direct Resection with Using an IT-knife
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Choi Do-Won
Park Jong-Jae
Kim Jae-Seon
Park Young-Tae
Hwang Jin-Ki
Yun Jae-Won
Kwon Min-Jung
Noh Hye-jin
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Abstract
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Brunner’s gland adenoma is a rare benign tumor that is usually asymptomatic and it the result of a benign proliferation of the Brunner’s glands of the duodenum. In symptomatic patients, the common clinical presentation is gastrointestinal bleeding and obstructive symptoms. A 48-year-old man presented with abdominal discomfort and vomiting. The endoscopic examination revealed a large pedunculated polypoid mass arising in the bulb and it was prolapsing through the pylorus into the antrum, and this all resulted in a ball-valve obstruction. After endoclips were applied at the peduncle of the mass, this polyp was simply and successfully cut with using an IT-knife without bleeding or perforation. We report here on a case of Brunner’s gland adenoma that caused a ball-valve obstruction, and the tumor was removed by a simple and easy method with using endoclips and an IT-knife.
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KEYWORD
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Brunner’s gland adenoma, Ball-valve obstruction, Endoclip, IT-knife
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