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Related Concept Videos

Gastritis-I: Introduction and Types01:27

Gastritis-I: Introduction and Types

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Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
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Gastritis-II: Pathophysiology01:17

Gastritis-II: Pathophysiology

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Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
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Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

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Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
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Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

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The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors
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A Large Gastric Inflammatory Fibroid Polyp.

Teresa Pinto-Pais1, Sónia Fernandes1, Luísa Proença1

  • 1Gastroenterology Department, Centro Hospitalar de Gaia/Espinho, Vila Nova de Gaia, Portugal.

GE Portuguese Journal of Gastroenterology
|September 5, 2017
PubMed
Summary
This summary is machine-generated.

This case study highlights a large inflammatory fibroid polyp (IFP), a rare benign gastrointestinal subepithelial tumor, presenting with obstructive symptoms. Endoscopic resection and EUS were crucial for diagnosis and treatment.

Keywords:
EndosonographyPolypsStomach Neoplasms

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Inflammatory fibroid polyps (IFPs) are uncommon benign submucosal tumors of the gastrointestinal tract.
  • Endoscopic ultrasound (EUS) findings for IFPs are infrequently documented, and their differential diagnosis and management remain challenging.

Purpose of the Study:

  • To report a rare case of a large gastric IFP presenting with obstructive symptoms and anemia.
  • To discuss the diagnostic utility of EUS and the efficacy of endoscopic treatment for gastric IFPs.

Main Methods:

  • A 50 mm gastric subepithelial tumor (SET) was evaluated using EUS, revealing specific sonographic layer involvement and echo-pattern.
  • The patient underwent endoscopic resection for symptomatic relief and definitive diagnosis.
  • Histopathologic and immunohistochemical analyses confirmed the IFP diagnosis.

Main Results:

  • EUS identified a large, hypoechoic, heterogeneous SET in the distal antrum, originating from the deep mucosal and submucosal layers.
  • The patient experienced obstructive symptoms ('ball valve syndrome') and anemia due to the large tumor size.
  • Histopathology confirmed IFP, and endoscopic resection successfully treated the condition.

Conclusions:

  • Large gastric IFPs can cause significant obstructive symptoms and anemia, necessitating intervention.
  • EUS is vital for the differential diagnosis of gastric SETs, including IFPs.
  • Endoscopic resection is an effective modality for both diagnosis and treatment of symptomatic gastric IFPs.