書誌事項
- タイトル別名
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- Surgical Resection for Hemorrhage in a Case of Brunner's Gland Hyperplasia That Had Increased over the Course of 5 Years
- 5ネン ノ ケイカ デ ゾウダイ シ シュッケツ オ キタシタ Brunnerセン カケイセイ ノ イチセツジョレイ
- ショウレイ ホウコク 5ネン ノ ケイカ デ ゾウダイ シ シュッケツ オ キタシタ Brunnerセン カケイセイ ノ イチ セツジョレイ
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Brunner's gland hyperplasia, a benign disease occurring mainly in the duodenal bulb, also causes hemorrhage or gastrointestinal obstruction. We report a case of Brunner's gland hyperplasia followed with endoscopy over 5 years, resulting in surgery due to hemorrhage. A man in his 50's was referred to us after his medical checkup indicated a submucosal tumor-like protruding lesion with a diameter of approximately 15 mm in the duodenal bulb. Biopsy indicated the low possibility of a neoplastic lesion, and he was followed with esophagogastroduodenoscopy(EGD)annually. However, lesion size had increased year by year to 30 mm, and the patient was admitted to our department for further examination. Melena was observed from 2 to 3 days before admission; therefore, we performed EGD, which revealed the presence of erosion and hemorrhage on the lesion surface. We thought the lesion would tend to grow and that hemorrhage would likely recur, and we judged that the patient met the criteria for resection. Because endoscopic resection was difficult, we resected the lesion by partial duodenectomy. The histopathologic diagnosis was Brunner's gland hyperplasia. This case was valuable because morphological changes leading to hemorrhage in this case of Brunner's gland hyperplasia could be observed chronologically.
収録刊行物
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- 山口医学
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山口医学 62 (1), 43-48, 2013
山口大学医学会
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詳細情報 詳細情報について
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- CRID
- 1390282679812219648
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- NII論文ID
- 130004476013
- 10031139794
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- NII書誌ID
- AN00243156
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- ISSN
- 18804462
- 05131731
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- NDL書誌ID
- 024277754
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- IRDB
- NDL
- Crossref
- CiNii Articles
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- 使用不可