Endoscopic Treatment of Jejunal Heterotopic Gastric Mucosa that Caused Recurrent Intussusception
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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.
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.
참고문헌 (20)
- Elemen L, "Heterotopic gastric mucosa leading to recurrent intussusceptions: report of a case", Surg Today, 39, pp.444~447 (2009)
- Fecteau A, "Recurrent intussusception: safe use of hydrostatic enema", J Pediatr Surg, 31, pp.859~861 (1996)
- Yang CM, "Recurrence of intussusception in childhood", Acta Paediatr Taiwan, 42, pp.158~161 (2001)
- Navarro O, "Intussusception. Part 3: diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously", Pediatr Radiol, 34, pp.305~312 (2004)
- Boybeyi O, "Common characteristics of jejunal heterotopic gastric tissue in children: a case report with review of the literature", J Pediatr Surg, 43, pp.e19~e22 (2008)
- Hsu WL, "Recurrent intussusception:when should surgical intervention be performed?", Pediatr Neonatol, 53, pp.300~303 (2012)
- Reis CA, "Immunohistochemical study of the expression of MUC6 mucin and co-expression of other secreted mucins (MUC5AC and MUC2) in human gastric carcinomas", J Histochem Cytochem, 48, pp.377~388 (2000)
- Ksia A, "Recurrent intussusception in children and infants", Afr J Paediatr Surg, 10, pp.299~301 (2013)
- Agha FP, "Heterotopic gastric mucosa in the duodenum: radiographic findings", AJR Am J Roentgenol, 150, pp.291~294 (1988)
- Galligan ML, "Heterotopic gastric mucosa in the jejunum causing intussusception", Arch Pathol Lab Med, 107, pp.335~336 (1983)
- Daher P, "Upper airway obstructive symptoms because of ectopic gastric mucosa in a newborn: a case report", J Pediatr Surg, 41, pp.e7~e9 (2006)
- Lui B, "Congenital oral heterotopic gastrointestinal cyst:case report and review of the literature", J Otolaryngol Head Neck Surg, 37, pp.E151~E154 (2008)
- Erez I, "Ectopic gastric mucosa in a polyp causing ileo-ileal intussusception: a case report of a threemonth-old baby", Eur J Pediatr Surg, 1, pp.118~120 (1991)
- Bertin P, "Ileo-ileal intussusception over an islet of heterotopic gastric mucosa without Meckel’s diverticulum", Chir Pediatr, 22, pp.7~11 (1981)
- Jimenez JC, "Recurrent gastrointestinal tract bleeding secondary to jejunal gastric heterotopia", J Pediatr Surg, 40, pp.1654~1657 (2005)
- Acea Nebril B, "Heterotopic gastric mucosa in the ileum with perforated ulcer", Gastroenterol Hepatol, 19, pp.514~516 (1996)
- Lodge JP, "Heterotopic gastric mucosa presenting as small-bowel obstruction", Br J Radiol, 60, pp.710~712 (1987)
- Yokoyama K, "Double-balloon enteroscopy for pediatric patients: evaluation of safety and efficacy in 257 cases", J Pediatr Gastroenterol Nutr, 63, pp.34~40 (2016)
- Thomson M, "Double balloon enteroscopy in children: diagnosis, treatment, and safety", World J Gastroenterol, 16, pp.56~62 (2010)
- Friedt M, "An update on pediatric endoscopy", Eur J Med Res, 18, pp.24~ (2013)