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KMID : 0931320150150040264
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대한상부위장관.헬리코박터학회지
2015 Volume.15 No. 4 p.264 ~ p.269
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A Case of Eosinophilic Gastroenteritis with Rapid Deterioration Mimicking Borrmann Type 4 Advanced Gastric Cancer
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이주영:Lee Ju-Young
민인선:Min In-Sun/홍정운:Hong Jung-Un/정태섭:Jung Tae-Seob/박보배:Park Bo-Bae/노인영:Nho In-Young/강성환:Kang Sung-Hwan
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Abstract
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Eosinophilic gastroenteritis is an uncommon disease of unknown etiology that is characterized by massive tissue infiltration of eosinophils in the tissue layers of various areas of the gastrointestinal tract. An accurate diagnosis is difficult as clinical presentations, symptoms, endoscopic and radiologic findings are nonspecific. A 51-year-old man visited our hospital presenting with abdominal pain. Esophagogastroduodenoscopy revealed diffuse hyperemic mucosal lesions at the stomach, duodenum. Symptoms and endoscopic findings deteriorated rapidly after three days. Small amounts of eosinophilic infiltration without malignant cells was confirmed from biopsy. However, we could not exclude malignancy and performed a subtotal gastrectomy. Stomach specimen showed eosinophilic infiltrations, and the patient was finally diagnosed as eosinophilic gastroenteritis. We report a case of atypical eosinophilic gastritis with rapid deterioration mimicking Borrmann type 4 advanced gastric cancer
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KEYWORD
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Eosinophilic gastroenteritis, Borrmann type 4 advanced gastric cancer, Thickened gastric wall
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