A case report of endoscopic resection for the treatment of duodenal Brunner's gland adenoma with upper gastrointestinal bleeding.

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Tytuł:: A case report of endoscopic resection for the treatment of duodenal Brunner's gland adenoma with upper gastrointestinal bleeding.
Autorzy:: Liang M; Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University.
Liwen Z; Department of Pediatrics, the Second People's Hospital of Changzhou, Affiliate Hospital of NanJing medical University, Changzhou, Jiangsu.
Jianguo S; Department of Gastroenterology, The People's Hospital of Wuqia, Xin Jiang, China.
Juan D; Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University.
Ting S; Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University.
Jianping C; Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University.
Źródło:: Medicine [Medicine (Baltimore)] 2020 Dec 24; Vol. 99 (52), pp. e23047.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
MeSH Terms:: Brunner Glands*
Duodenoscopy*
Endoscopic Mucosal Resection*
Adenoma/*surgery
Duodenal Neoplasms/*surgery
Adenoma/complications ; Aged, 80 and over ; Duodenal Neoplasms/complications ; Female ; Gastrointestinal Hemorrhage/etiology ; Humans
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Grant Information:: 81700500 the National Natural Science Foundation of China; CJ20160031 the Applied Basic Research Programs of Science, Technology Department of Changzhou city; CJ20190095 the Applied Basic Research Programs of Science, Technology Department of Changzhou city; H201547 the Research Project of Jiangsu Province Commission of Health and Family Planning; ZD201612 the Major Scientific and Technological Project of Changzhou City Commission of Health and Family Planning; 2017NJMU042 the Scientific and Technological Project of NanJing medical University
Entry Date(s):: Date Created: 20201222 Date Completed: 20210113 Latest Revision: 20240330
Update Code:: 20240330
PubMed Central ID:: PMC7769294
DOI:: 10.1097/MD.0000000000023047
PMID:: 33350721
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Rationale: Gastrointestinal bleeding as the first sign of Brunner's gland adenoma (BGA) is an extremely rare, and its clinical features and treatment methods have not been well described.
Patient Concerns: We described a 81-year-old female patient with coronary artery disease and chronic atrial fibrillation presenting with presenting with gastrointestinal bleeding requiring blood transfusion.
Diagnoses: The diagnosis of our case mainly refered to radiologic imaging and endoscopic examination. Histological result was compatible with BGA.
Interventions: This mass lesion (6 × 7 cm diameter) was successfully totally removed by endoscopic submucosal dissection (ESD) for more than three hours.
Outcomes: The patient was followed up for 6 months to date without recurrence.
Lessons: Endoscopic removal is considered as a safe and low-risk treatment for elderly patients with severe underlying diseases presenting with gastrointestinal bleeding.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc.)

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