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[Ménétrier disease. Report of one case]
Macarena Gompertz1, Cristián Montenegro, María Ester Bufadel
1Sección de Gastroenterología, Departamento de Medicina Interna, Hospital Clínico Universidad de Chile, Santiago, Chile.
Revista Medica De Chile
|January 29, 2013
Summary
Ménétrier disease, a rare stomach disorder causing giant folds and protein loss, was treated in a 55-year-old male. Total gastrectomy led to a positive outcome for this patient with severe symptoms.
Area of Science:
- Gastroenterology
- Pathology
Background:
- Ménétrier disease is a rare gastric disorder characterized by giant hypertrophic folds.
- It typically affects the gastric body and fundus, leading to hypoalbuminemia from protein loss.
Observation:
- A 55-year-old male presented with abdominal pain, vomiting, weight loss, and hypoalbuminemia.
- Endoscopy revealed diffuse hypertrophic gastric folds, ulcerated lesions, and duodenal involvement.
- Biopsies showed foveolar hyperplasia, glandular atrophy, and cystic dilatation.
Findings:
- The patient's condition involved significant gastric mucosal changes consistent with Ménétrier disease.
- Surgical intervention, specifically total gastrectomy, was performed.
Implications:
- Total gastrectomy can be an effective treatment for severe Ménétrier disease.
- This case highlights the importance of surgical options for managing refractory gastric disorders.
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