Endoscopic Treatment of Jejunal Heterotopic Gastric Mucosa that Caused Recurrent Intussusception
Clinical Endoscopy
; : 605-608, 2017.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-10730
Responsible library:
WPRO
ABSTRACT
Heterotopic gastric mucosa (HGM) is a rare anomaly in the small bowel and may be the cause of intussusception when it gets a lead point in the jejunum. All cases of intussusception due to intestinal HGM have been treated with surgical resection. A 5-year-old girl presented with chief complaints of vomiting and abdominal pain for 2 weeks. A computed tomography scan of the abdomen showed intussusception at the proximal jejunal loops. Three air reductions and one saline reduction were attempted without success. She continued to be symptomatic, and endoscopic evaluation was performed. Enteroscopy revealed some variable-sized polypoid mucosal lesions with erosions on the proximal jejunum. Endoscopic mucosal resection was performed using a snare. The resected tissues histologically showed a hyperplastic polyp arising from the HGM. Her symptoms did not recur within 1 year after the treatment. Our case showed that enteroscopy could be useful for the diagnosis and management of jejunal intussusception caused by HGM.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.2 Reduce avoidable death in newborns and children under 5
Health problem:
Target 3.2: Reduce avoidable death in newborns and children under 5
/
Environmental Health
Database:
WPRIM (Western Pacific)
Main subject:
Polyps
/
Vomiting
/
Abdominal Pain
/
Diagnosis
/
Abdomen
/
SNARE Proteins
/
Gastric Mucosa
/
Intussusception
/
Jejunum
Type of study:
Diagnostic study
Limits:
Child, preschool
/
Female
/
Humans
Language:
English
Journal:
Clinical Endoscopy
Year:
2017
Document type:
Article