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KMID : 0367419690100020027
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Journal of Korean Pediatric Society
1969 Volume.10 No. 2 p.27 ~ p.30
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Prolapse of the Gastric Mucosa
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琴東爀/Kum, Dong Hyuck
金英嫄/趙明來/金潗/Kim, Young Won/Chow, Myeng Re/Kim, Jip
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Abstract
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Schmieden first in 1911 and later 1913 reported on a symdrome, hypertrophic antral mucosa which caused prolapse of the duodenum and obstructed the pylorus. In 1926, Eliason, Pendergrass and Wright confirmed this syndrome, clinically, radiologically, and surgically. Although it drew much interest, there is no accepted theory as to the cause or the clinical significance of the syndrome.
There are a few known causes of this syndrome which are as follows:
1. Hyperplasia of the gastric mucosa
2. Hypertrophic gastritis
3. Hypermotility of the stomach
4. Congenital variation in the anatomy of the pylorus.
According to the literature, this can be found most frequently between the ages of 30 to 40, but during the past year in our department we found 3 cases of it in , a 9 year-old girl, and in a 12 year-old girl, all of which were much improved with the use of Pro-banthine.
For those patients who hane epigastric pain that suggests repeated gastroduodenitis, a pain aften associated with a cramp, hunger pain, feeling of fullness, nausea, and vomiting, it is helpful to have an upper gastrointestinal series when suspecting the cause of the above complaints, in order to make a diagnosis.
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