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283 records · Page 16Linked to original sources
PubMed1992

Prolapsed hyperplastic gastric polyp causing gastric outlet obstruction, hypergastrinemia, and hematemesis in an infant.

An infant presented with hematemesis and gastric outlet obstruction. Preoperative diagnosis of duodenal duplication cyst was based on a collaboration of radiological studies. At exploration the patient was found to have a gastric polyp that had intussuscepted into the duodenum leading to obstruction and hypergastrinemia secondary to gastric mucosa in the duodenal alkaline environment.

Gastric Outlet Obstruction↗
PubMed1990

Transpyloric prolapse of a pedunculated polypoid gastric carcinoma.

A patient with transpyloric prolapse of a pedunculated polypoid gastric carcinoma is reported. Only three previous cases have been reported in the international literatures. However, in Japan, 33 cases of prolapsed gastric carcinoma have been reported during the past 30 years. Prolapsed gastric carcinoma should be included in the differential diagnosis of localized intraluminal filling defects in the duodenal bulb. Endoscopy and biopsy are essential for correct diagnosis.

Adenocarcinoma↗
PubMed1984

Gastric antral vascular ectasia: the watermelon stomach.

We report 3 patients with severe and persistent iron deficiency anemia who were found to have gastric antral vascular ectasia. Endoscopically, the patients presented with a characteristic antral appearance so distinctive as to be diagnostic: longitudinal rugal folds traversing the antrum and converging on the pylorus, each containing a visible convoluted column of vessels, the aggregate resembling the stripes on a watermelon; and, less prominently, evidence of mucosal prolapse. In 2 of these patients, with uncontrollable anemia, antrectomy and Billroth I anastomosis were performed; their hemoglobin levels have subsequently remained normal over the following 2 yr. In the third patient, who was achlorhydric, prednisone therapy substantially reduced the rate of bleeding. In all patients, endoscopic biopsy specimens showed dilatation of mucosal capillaries, with focal thrombosis and fibromuscular hyperplasia of the lamina propria; the resected specimens, additionally, show thickened mucosa with tortuous submucosal venous channels. The importance of the condition lies in its recognition.

Adult↗
PubMed1985

A new type of sliding hiatus hernia.

A series of patients showing a previously unrecognized type of sliding hiatus hernia is presented and analyzed. This type of hernia is characterized by reflux of the mucous membrane of the Hiss angle into the lumen of the esophagus. The occurrence of mucosal prolapse is a secondary phase of gastroesophageal reflux. The mucous plug prevents further reflux of the acid contents of the stomach into the esophagus and mouth. After the appearance of mucosal prolapse, the symptoms and signs of esophagitis disappear. The most characteristic complaint of the patients is retrosternal pain on lying and bending down. Endoscopy with provocative tests reveals the mucosal prolapse. Tooth erosions due to previous acid reflux into the mouth are diagnostic. The symptoms of this new subtype of sliding hiatus hernia were cured by the Nissen fundoplication.

Adult↗
PubMed1979

Hemorrhage due to retrograde prolapse of stomach. An endoscopic diagnosis.

A case of recurrent hemorrhage due to localized gastric mucosal congestion from retrograde prolapse during severe retching is described. Historically, this condition may mimic the "Mallory-Weiss syndrome" and endoscopically, this lesion may be mistaken for "gastritis". This rarely recognized condition may be an explanation for some cases of cryptic hematemesis.

Alcoholism↗
PubMed1985

[Transpyloric prolapse (clinical evaluation and surgical tactics)].

The indications for the surgical treatment of patients with transpyloric prolapse based upon results of surgery on 38 patients are discussed. It was shown that the method and volume of the surgical intervention must be individual and depend on data of analysis of results of the clinico-instrumental and morpho-functional methods of research.

Chronic Disease↗
PubMed1981

[Intermittent retrograde transcardial gastroesophageal prolapse. Clinical picture. Endoscopic aspects. Radiographic study].

Intermittent transcardial prolapse and/or gastroesophageal invagination take place in some 16% of upper digestive tract endoscopies. The clinical picture may correspond to episodic epigastric symptomatology, massive digestive haemorrhage, and recurrent paroxystic heart rhythm disturbances. Prolapse can be recorded with a spot camera by means of an easy technique, so that its association with hiatal hernia, gastroesophageal reflux, peptic oesophagitis, etc. can be studied. Treatment is that applicable to cardiac incontinence and peptic oesophagitis.

Adolescent↗
PubMed1999

[The percutaneous endoscopic gastrostomy catheter as a therapeutic possibility in recurrent anus praeter prolapse].

HISTORY AND ADMISSION FINDINGS: A 67-year-old man with schizophrenia, well controlled by drugs, had undergone a left hemicolectomy with a terminal transverse colostomy and rectal stump closure (Hartmann's operation) for perforation of the sigmoid colon with diffuse peritonitis. 3 months later a large invagination of the transverse colon necessitated relaparotomy with further extensive resection of the colon and a new colostomy. Subsequent mild mucosal erosions were treated conservatively. He was referred to our hospital after another irreducible colon invagination through the colostomy. On admission there was an obvious, 15 cm long, prolapsing invagination of the colon with dark-blue swollen mucosa as a sign of venous obstruction. TREATMENT AND COURSE: After complicated manual reduction of the prolapsed invagination the transverse colon was fixed under coloscopy in the region of the right flexure by percutaneous endoscopic gastrostomy (PEG). Subsequently the repositioned colon portion was fixed near the colostomy with three more PEGs. These were brought out percutaneously from the intestinal lumen entirely by palpation. The four PEG tubes were removed 4 weeks later and examination after a further 4 weeks showed a good result. CONCLUSION: After endoscopic repositioning of a gastric volvulus, sigmoid volvulus or upside-down stomach, the affected organ can in certain circumstances be anatomically fixed by PEG. This minimally invasive method was successfully used by us for the first time in the repair of a prolapsed colostomy.

Aged↗
PubMed2004

Gastric wall necrosis following late prolapse after laparoscopic banding.

A 20-year-old female, who had suffered from morbid obesity with a BMI of 41.2, was admitted 3 years after undergoing laparoscopic gastric banding. 3 days before her present admission, she began suffering from abdominal pain without vomiting. On admission investigation, gastric prolapse was diagnosed with complete obstruction of passage through the band. Emergency laparoscopy was performed, which showed devitalization of the stomach above the band. At the operation, the band was removed, and conservative treatment was begun with nasogastric aspiration, total parenteral nutrition, and close observation.

Abdominal Pain↗
PubMed1984

Prolapsing inflammatory pseudopolyp-fold complex of the oesophagogastric region.

This article describes a series of 12 adult patients in whom a prominent and mobile polypoid fold of the oesophagogastric region was demonstrated radiologically. Subsequent endoscopic and histopathologic studies confirmed the presence of an inflammatory pseudopolyp at the squamocolumnar junction and contiguous with a thick gastric rugal fold. The clinical and radiographic features of this entity and the mechanisms of its formation are reviewed.

Adult↗
PubMed1995

Endoscopic evaluation of gastric inflammatory fibroid polyp.

Clinical and endoscopic manifestations of 18 gastric inflammatory fibroid polyps (IFP) in 16 patients who underwent endoscopic or surgical removal were retrospectively analyzed. All of the lesions were located within the pyloric antrum, and the sizes varied from 0.8 to 7.0 cm. On endoscopy, six polyps which measured 1.0 cm or less uniformly seemed to be sessile or intramural tumors, whereas four of the nine polyps between 1.1 and 2.0 cm in size were additionally accompanied by a central depression. The remaining three, which measured more than 2.0 cm, showed characteristic polypoid growth with ulcerations. Three polyps more than 1.0 cm in size occasionally prolapsed into the duodenal bulb. Three patients with these prolapsing polyps and two with polyps accompanied by ulcerations experienced abdominal pain, nausea, or severe anemia. Two polyps (11%) were precisely diagnosed as IFP by means of conventional forceps biopsy. Histological examinations revealed that all of the polyps proliferated within the submucosa. Therefore, this type of polyp may be subject to endoscopic removal to enable a precise diagnosis and treatment.

Adult↗