Menetrier Hastalığı ve Sınırlı Cerrahi Yaklaşım
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Dosyalar
Tarih
2000
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turgut Özal Tıp Merkezi Dergisi
Erişim Hakkı
Attribution 3.0 United States
Özet
Bu çalışmada sunulan olgu yorgunluk, kilo kaybı ve meiena yakınmalarıyla başvurdu. Üst gastrolntestinal radyolojik ve endoskoplk incelemeler mide kardia ve korpusunda kalınlaşmış mukozai kıvrımları ortaya koydu. Pentagastrin uyarısı sonrası mide sıvı anaüzi ve serum album'ın seviyeleri Menetrier hastalığını düşündürdü fakat histopatolojlk inceleme Menetrier hastalığını teyit etmedi. Laparatomi ve gastrotomı' sonrası kardia ve korpusta frajü, kalınlaşmış, düzensiz mukozai kıvrımlar görüldü. Bu mukoza! kıvrımlar mide duvarında herhangi bir defekt yaratmaksızın eksize edildi. Operasyon materyalinin histopatolojik incelemesi, Menetrier hastalığını teyit etti. Operasyondan yedi yıl sonra hastanın herhangi bir yakınması yoktu ve endoskoplk incelemeler normaldi. Menetrier hastalığında hlpertrofık gastrik mukozai kıvrımlar sınırlı bir alandaysa, bu olgudaki gibi sınırlı mukozai rezekslyon hem hastalığın ortadan kaldırılmasında etkilidir hem de gastrektominin komplikasyonlarından sakınılmış olur
We describe a 33 year old man who presented with fatigue, weight loss, and dark brown stool. The upper gastrointestinal X-ray series and endoscopy revealed thickened gastric folds in the cardia and corpus of the stomach. Gastic juice analysis after pentagastrin stimulation and albumin levels of serum brought to mind Menetrier's disease but histopathologic examination not. We performed celiotomy and then gastrotomy. A very fragile cerebroid pattern due to thickened and irregular folds resembling cerebroid convolutions were seen along on the cardia and corpus of the stomach. These Irregular thickened mucosal folds were excised without any defect in the wall of the stomach. Histopathologic examination of the operation specimen confirmed Menetrier's disease. In the seven years since the operation the patient has had no complaint and was normal in endoscopic controls. If the giant rugae ¡n the stomach involve a limited area then a limited resection, which is described in this study, is both effective and free from the complications of the extensive gastrectomy.
We describe a 33 year old man who presented with fatigue, weight loss, and dark brown stool. The upper gastrointestinal X-ray series and endoscopy revealed thickened gastric folds in the cardia and corpus of the stomach. Gastic juice analysis after pentagastrin stimulation and albumin levels of serum brought to mind Menetrier's disease but histopathologic examination not. We performed celiotomy and then gastrotomy. A very fragile cerebroid pattern due to thickened and irregular folds resembling cerebroid convolutions were seen along on the cardia and corpus of the stomach. These Irregular thickened mucosal folds were excised without any defect in the wall of the stomach. Histopathologic examination of the operation specimen confirmed Menetrier's disease. In the seven years since the operation the patient has had no complaint and was normal in endoscopic controls. If the giant rugae ¡n the stomach involve a limited area then a limited resection, which is described in this study, is both effective and free from the complications of the extensive gastrectomy.
Açıklama
Turgut Özal Tıp Merkezi Dergisi.7 (3) :1-3,2000. Malatya.
Anahtar Kelimeler
Menetrier Hastalığı, Hipertrofik Gastropati, Protein Kaybettiren Gastropat, Cerrahi, Menetrier's Disease, Hypertrophic Gastropathy, Protein-Losing Gastropathy, Surgery
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Yılmaz, Sezai ; Kırımlıoğlu, Vedat ;Yıldırım, Bülent ;Ara, Cengiz ; Hilmioglu, Fatih ;Turgut Özal Tıp Merkezi Dergisi.7 (3) :1-3,2000. Malatya.
