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KMID : 0359020100410040228
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Korean Journal of Gastrointestinal Endoscopy
2010 Volume.41 No. 4 p.228 ~ p.231
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Partial Duodenal Obstruction Caused by an Impacted Gastritis Cystica Polyposa
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Kim Ju-Hwan
Kwon Chang-Il
Koo Seung-Won
Yoo Kwang-Ho
Kim Gwang-Il
Chong So-Young
Ko Kwang-Hyun
Hong Sung-Pyo
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Abstract
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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.
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KEYWORD
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Gastritis cystica polyposa, Duodenal obstruction, Polypectomy
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