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A Case of the Endoscopic Removal of a Duodenal Heterotopic Gastric Mucosa Presenting as a Polypoid Lesion
±è¼ºÈÆ ( Kim Sung-Hoon ) - °í½Å´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
±è±ÔÁ¾ ( Kim Kyu-Jong ) - °í½Å´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
¹Ú¼±ÀÚ ( Park Seun-Ja ) - °í½Å´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
±è³¶Èñ ( Kim Nang-Hee ) - °í½Å´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
³²ÁöÇö ( Nam Ji-Hyeon ) - °í½Å´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
¹ÚÁöÀº ( Park Ji-Eun ) - °í½Å´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
ÇѼ·æ ( Han Seo-Ryong ) - °í½Å´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
¹®¿ø ( Moon Won ) - °í½Å´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
¹Ú¹«ÀÎ ( Park Moo-In ) - °í½Å´ëÇб³ Àǰú´ëÇÐ ³»°úÇб³½Ç
Á¤¹ÎÁ¤ ( Jung Min-Jung ) - °í½Å´ëÇб³ Àǰú´ëÇÐ º´¸®Çб³½Ç
Abstract
À̼Ҽº À§ Á¡¸·Àº Àü Àå°ü¿¡¼ ¹ß»ýÇÒ ¼ö ÀÖ´Ù. ½ÊÀÌÁöÀå¿¡ ¹ß»ýÇÏ´Â À̼Ҽº À§ Á¡¸·Àº ¼±ÃµÀûÀÎ ¹ß´ÞÇü À̼Ҽº À§ Á¡¸·(heterotopic gastric mucosa)°ú ÈÄõÀûÀΠȹµæÇü À̼Ҽº À§Á¡¸·(gastric metaplasia)À¸·Î ³ª´©¾îÁø´Ù. À̼Ҽº À§ Á¡¸·Àº ´ëºÎºÐ ȹµæÇüÀÌ¸ç ¹ß´ÞÇüÀº 0.5¡2.0%¿¡¼ ¹ß°ßµÇ´Â µå¹® ÁúȯÀÌ´Ù. ¹ß´ÞÇü À̼Ҽº À§ Á¡¸·Àº ¹«Áõ»ó¿¡¼ºÎÅÍ ÀÚ°¢Áõ»óÀÌ Àֱ⵵ Çϰí õ°ø, ÃâÇ÷, ÀåÆó»ö µîÀ» À¯¹ßÇϱ⵵ ÇÏ¿© ³»½Ã°æÀû ÃßÀû °üÂûÀÌ ±Ç°íµÇ±âµµ ÇÑ´Ù. ¹ß´ÞÇüÀÇ ³»½Ã°æ ¼Ò°ßÀº ´ëºÎºÐ ´Ù¼öÀÇ ÀÛÀº °áÀý·Î °üÂûµÇ´Â À¶±â¼º º´º¯À¸·Î º¸À̳ª ÀúÀÚµéÀº ¹«Áõ»óÀÇ 31¼¼ ³²ÀÚ¿¡°Ô¼ ½ÊÀÌÁöÀå¿¡ 1.5?1.2 cmÀÇ ÇÑ °³ÀÇ ¿ëÁ¾¼º º´º¯À» ¹ß°ßÇÏ¿© ³»½Ã°æ ÀýÁ¦¼ú ÈÄ ¹ß´ÞÇü À̼Ҽº À§ Á¡¸·À¸·Î Áø´ÜÇÑ 1¿¹¸¦ ¹®Çå °íÂû°ú ÇÔ²² º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
Ectopic gastric mucosa is known to occur throughout the gastrointestinal tract. Ectopic gastric mucosa in the duodenum is classified into the developmental (heterotopic gastric mucosa) and acquired types (gastric metaplasia). Gastric metaplasia may be present in up to 64% of normal individuals but heterotopic gastric mucosa is quite rare. A heterotopic gastric mucosa in the duodenum may be asymptomatic but can give rise to perforation, hemorrhage, and intestinal obstruction in rare cases. Therefore, periodic endoscopic surveillance is recommended in these cases. Endoscopically, the appearance of a heterotopic gastric mucosa shows a mainly elevated lesion with multiple nodularity. We report a case of 1.5?1.2 cm sized polypoid lesion of the duodenum in an asymptomatic 31 year-old man. The mass was resected endoscopically and diagnosed as a heterotopic gastric mucosa. (Korean J Gastrointest Endosc 2007;34:146?150)
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À̼Ҽº À§ Á¡¸·;½ÊÀÌÁöÀå;¿ëÁ¾
Heterotopic gastric mucosa;Duodenum;Polyp
KMID :
0359020070340030146
DOI :
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