Korean Journal of Gastrointestinal Endoscopy 2009;39(3): 125-130.
위 내 벽외성 압박의 위치에 따른 임상적 의미
김용욱ㆍ김광하ㆍ김동욱ㆍ김일두ㆍ정경식ㆍ정우진ㆍ최철웅ㆍ강대환ㆍ송근암
부산대학교 의학전문대학원 내과학교실
The Clinical Significance of Extraluminal Compressions According to the Site of the Stomach
Yong Wuk Kim, M.D., Gwang Ha Kim, M.D., Dong Uk Kim, M.D., Il Du Kim, M.D., Kyung Sik Jung, M.D., Woo Jin Jung, M.D., Cheol Woong Choi, M.D., Dae Hwan Kang, M.D. and Geun Am Song, M.D.
Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
Abstract
Background/Aims: It can be difficult to differentiate an extraluminal compression from a true submucosal tumor (SMT) in the stomach. The best method for differentiating an extraluminal compression from a true SMT is endoscopic ultrasonography (EUS). Extragastric compression is frequently observed, but its clinical significance has rarely been reported on. We evaluated the clinical findings of extraluminal compression according to the site of the stomach.
Methods: Ninety-one patients were diagnosed by EUS as having extragastric compressions from January 2006 to July 2008. Abdominal sonography or computed tomography was performed in some cases.
Results: The causes of normal structures (64 cases) were the vessels, spleen, intestine, gallbladder, liver, mesentery, pancreas and kidney. The causes of pathologic lesions (27 cases) were hepatic cyst, distended gallbladder with sludge, splenic cyst, hepatic hemangioma, polycystic hepatic and renal disease, pancreatic cyst, renal cyst, calcified lymph node and hepatocelluar carcinoma. The great curvature of the fundus was the most frequent site of extraluminal compressions. The lesions in the anterior wall of the body showed a higher frequency of pathologic lesions than did those lesions in other sites.
Conclusions: EUS is useful for finding the causes of extragastric compression. Careful evaluation is needed because many lesions in the anterior wall of the body of the stomach were due to pathologic causes. (Korean J Gastrointest Endosc 2009;39:125-130)
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