Korean J Gastrointest Endosc > Volume 39(1); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;39(1): 38-41.
유문부의 Ball-valve 폐쇄를 보인 거대 브루너 선종의 Endoclip과 IT-knife를 이용한 절제술 1예
고려대학교 의과대학 구로병원 내과학교실
A Case of Brunner's Gland Adenoma Causing a Ball-valve Obstruction: Endoscopic Treatment with a Simple Method of Endoclip-assisted Direct Resection with Using an IT-knife
Do Won Choi, M.D., Jin Ki Hwang, M.D., Jong Jae Park, M.D., Jae-Won Yun, M.D., Min-Jung Kwon, M.D., Hyejin Noh, M.D., Jae Seon Kim, M.D. and Young-Tae Bak, M.D.
Department of Gastroenterology, Korea University Medical Center Guro Hospital, Seoul, Korea
Brunner's gland adenoma is a rare benign tumor that is usually asymptomatic and it the result of a benign proliferation of the Brunner's glands of the duodenum. In symptomatic patients, the common clinical presentation is gastrointestinal bleeding and obstructive symptoms. A 48-year-old man presented with abdominal discomfort and vomiting. The endoscopic examination revealed a large pedunculated polypoid mass arising in the bulb and it was prolapsing through the pylorus into the antrum, and this all resulted in a ball-valve obstruction. After endoclips were applied at the peduncle of the mass, this polyp was simply and successfully cut with using an IT-knife without bleeding or perforation. We report here on a case of Brunner's gland adenoma that caused a ball-valve obstruction, and the tumor was removed by a simple and easy method with using endoclips and an IT-knife. (Korean J Gastrointest Endosc 2009;39:38-41)
Key Words: Brunner's gland adenoma, Ball-valve obstruction, Endoclip, IT-knife
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