内視鏡的切除を行った巨大十二指腸過誤腫の1例  [in Japanese] A CASE OF HAMARTOMA RESECTED BY ENDOSCOPIC POLYPECTOMY  [in Japanese]

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Author(s)

    • 齋藤 真 SAITOH Shin
    • 東海大学 内科学系消化器内科学 Department of Internal medicine, Division of Gastroenterology, Tokai University School of Medicine
    • 渡辺 純夫 WATANABE Sumio
    • 東海大学 内科学系消化器内科学 Department of Internal medicine, Division of Gastroenterology, Tokai University School of Medicine
    • 蓮見 桂三 HASUMI Keizoh
    • 東海大学 内科学系消化器内科学 Department of Internal medicine, Division of Gastroenterology, Tokai University School of Medicine
    • 小林 健二 KOBAYASHI Kenji
    • 東海大学 内科学系消化器内科学 Department of Internal medicine, Division of Gastroenterology, Tokai University School of Medicine
    • 峯 徹哉 MINE Tetsuya
    • 東海大学 内科学系消化器内科学 Department of Internal medicine, Division of Gastroenterology, Tokai University School of Medicine

Abstract

患者は56歳女性.主訴は右季肋部痛.胆石の既往があり,今回の症状は胆石発作であったが,念のため施行した上部消化管の検査として,内視鏡検査で十二指腸下行部ファーター乳頭対側に25×17×20mmのIpポリープが認められた.病変は巨大であったが,視野のとりやすい下行部であったことから,内視鏡的切除の適応と判断した.留置スネアをかけた後,基部を切除し,残存ポリープは追加切除した.組織学的には過誤腫と診断された.一週間後の検査でポリープの残存は認めなかった.十二指腸隆起性病変に対して内視鏡的治療を施行する場合はe適応と問題点を常に念頭に置いて対処すべきであると考える.

A 56-year-old woman was admitted to our hospital with right upper quadrant pain. Her abdominal pain turned out to be gallstone attack. However, she was found to have a pedunculated duodenal polyp in the descending part at endoscopy which was done as a part of work-up of her symptoms. The polyp was measured 25×17×20 mm. Because endoscopic polypectomy was felt to be feasible, the patient underwent polypectomy. After detachable snare was placed on the stalk of the polyp, the polyp was removed endoscopically. The pathological diagnosis was hamartomatous polyp. Follow-up endoscopy revealed complete resection of the polyp. When endoscopic resection of a duodenal polyp is performed, the indication and problems should be considered.

Journal

  • GASTROENTEROLOGICAL ENDOSCOPY

    GASTROENTEROLOGICAL ENDOSCOPY 44(4), 768-773, 2002-04-20

    Japan Gastroenterological Endoscopy Society

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