A Case of Stenotic Change from Gastric Candidiasis Managed with Temporary Stent Insertion
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Invasive gastric Candida infection in patient with co-morbidity can cause stenotic change if it is developed at anatomically narrowing portion, such as distal antrum, pylorus, or duodenal bulb. However, proper management of benign stenosis by diffuse gastric Candidasis is still under controversy and palliative bypass surgery has several shortcomings because high risk operative group may be included in this case. Palliative placement of self-expandable metallic stent has been settled as a standard management of malignant gastric pyloric obstruction and it is expected to be applied in benign stenotic lesions due to its gradual dilation effect. We described a case of stenosis by diffuse gastric Candidasis at anastomosis of subtotal gastrectomy, which was managed by temporary placement of self-expandable metallic stent.
Abstract
Invasive gastric Candida infection in patient with co-morbidity can cause stenotic change if it is developed at anatomically narrowing portion, such as distal antrum, pylorus, or duodenal bulb. However, proper management of benign stenosis by diffuse gastric Candidasis is still under controversy and palliative bypass surgery has several shortcomings because high risk operative group may be included in this case. Palliative placement of self-expandable metallic stent has been settled as a standard management of malignant gastric pyloric obstruction and it is expected to be applied in benign stenotic lesions due to its gradual dilation effect. We described a case of stenosis by diffuse gastric Candidasis at anastomosis of subtotal gastrectomy, which was managed by temporary placement of self-expandable metallic stent.
참고문헌 (17)
- Zwolinska-Wcisło M, "Fungal colonization of gastric mucosa and its clinical relevance", Med Sci Monit, 7, pp.982~988 (2001)
- Scott BB, "Gastro-oesophageal candidiasis", Gut, 23, pp.137~139 (1982)
- Hirasaki S, "Benign gastric ulcer associated with Canidida infection in a healthy adult", J Gastroenterol, 34, pp.688~693 (1999)
- Morishita T, "Radiologic and endoscopic studies of gastric ulcers associated with Candida infection", Acta Gastroenterol Latinoam, 23, pp.223~229 (1993)
- Rajablou M, "Candida infection presenting as multiple ulcerated masses", Gastrointest Endosc, 65, pp.164~166 (2007)
- Sari R, "Multiple gastric ulcers caused by gastric candidiasis in a diabetic patient: a rare cause of upper GI bleeding", Gastrointest Endosc, 58, pp.309~311 (2003)
- Goenka MK, "Candida overgrowth after treatment of duodenal ulcer. A comparison of cimetidine,famotidine, and omeprazole", J Clin Gastroenterol, 23, pp.7~10 (1996)
- Höchter W, "Fungal infestation of gastroduodenal ulcers: incidence and significance (author’s transl)", Dtsch Med Wochenschr, 107, pp.845~848 (1982)
- Lee EL, "Gastritis and gastropathy, In Sleisenger & Fordtran’s gastrointestinal and liver disease: pathophysiology, diagnosis, management. 8th ed", pp.1074~1075 (2006), Saunders
- Nakada K, "Two cases of multiple gastric ulcers with Candida infection disguised themselves as submucosal tumor", Progr Dig Endosc, 21, pp.205~208 (1982)
- Lau JY, "Through-the-scope balloon dilation for pyloric stenosis: long-term results", Gastrointest Endosc, 43(2 Pt 1), pp.98~101 (1996)
- Misra SP, "Long-term follow-up of patients undergoing ballon dilation for benign pyloric stenoses", Endoscopy, 28, pp.552~554 (1996)
- Solt J, "Long-term results of balloon catheter dilation for benign gastric outlet stenosis", Endoscopy, 35, pp.490~495 (2003)
- Fiori E, "Palliative management of malignant antro-pyloric strictures. Gastroenterostomy vs. endoscopic stenting. A randomized prospective trial", Anticancer Res, 24, pp.269~271 (2004)
- Mittal A, "Matched study of three methods for palliation of malignant pyloroduodenal obstruction", Br J Surg, 91, pp.205~209 (2004)
- Profili S, "Selfexpandable metal stents in the treatment of antro-pyloric and", or duodenal strictures, 2001, pp.42, 176~180
- Kim HJ, "of the temporary placement of stent in benign pyloric stenosis", Gastrointest Endosc, 59, pp.P153~ (2004)