Endoscopic Diagnosis of Gastroduodenal Intussusception

Lee, Tsung-Hsien; Chen, C.-H.; Wong, John; Yu, Shao-Ping; Shun, Chia-Tong; Wang, T.-H.; Lin, Jaw–Town

doi:10.1055/s-2007-1005466

Cited by 5 publications

(2 citation statements)

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“…The prolapsed tumor can have a peduncle extending from the stomach into the duodenal bulb, or the tumor can prolapse within the movable limits of its peduncle. It may be difficult to differentiate the complete gastroduodenal intussusception 13,31–33 from the partial one by endoscopy alone without an upper GI series. It is very important to differentiate the complete intussusception from the partial one in case of the consideration of endoscopic polypectomy 1,34 .…”

Section: Discussionmentioning

confidence: 99%

Carbohydrate antigen 19‐9‐producing early protruded gastric carcinoma prolapsing into the duodenal bulb

Ishikawa¹,

Arita²,

Shimoda³

et al. 2003

Digestive Endoscopy

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The patient was an 81‐year‐old man who was admitted to the Arita Gastrointestinal Hospital for anemia. Upper gastrointestinal series and endoscopic examinations revealed transpyloric prolapse of a pedunculated polypoid gastric carcinoma with an abnormal mucosal fold from the posterior wall of the lesser curvature of the gastric antrum. Biopsy and histological examination led to a diagnosis of papillary adenocarcinoma. The incarcerated tumor could not be restored endoscopically into the stomach, the lesion head was ulcerated, and the serum carbohydrate antigen (CA) 19‐9 was elevated to 379.7 U/mL. Surgery was indicated. Intraoperatively, the tumor was found in the duodenal bulb; it was easily manipulated into the stomach, and distal gastrectomy was performed. The tumor, 5.0 × 4.2 × 2.5 cm, was diagnosed histologically as papillary adenocarcinoma of the stomach infiltrating into the submucosal layer. The carcinoma cells stained positively for CA19‐9 antibody. The postoperative course was uneventful, the anemia improved, and the serum CA19‐9 level decreased to within normal range. The patient remains alive 15 months after the surgery. This may be the first report of a patient with Type 0 I early gastric cancer characterized by both CA19‐9 production and transpyloric prolapse.

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Section: Discussionmentioning

confidence: 99%

Carbohydrate antigen 19‐9‐producing early protruded gastric carcinoma prolapsing into the duodenal bulb

Ishikawa¹,

Arita²,

Shimoda³

et al. 2003

Digestive Endoscopy

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“…A very rare complication of GISTs is gastroduodenal intussusception caused by prolapse of the tumour and subsequent invagination of a portion or the full thickness of the gastric wall into the duodenum [6][7][8]. This may present with intermittent vague epigastric pain or as an acute gastrointestinal emergency with severe sudden pain, shock and intractable vomiting.…”

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confidence: 99%

Gastroduodenal intussusception of a gastrointestinal stromal tumour

Crowther¹,

Wyld²,

Yamani³

et al. 2002

BJR

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Gastrointestinal stromal tumours (GISTs), previously termed leiomyomas and leiomyosarcomas are relatively common tumours of the gastrointestinal tract, most commonly found in the stomach. Most GISTs are asymptomatic but may cause abdominal pain or bleeding from ulceration of the overlying mucosa. A rare case of gastroduodenal intussusception of a large gastric stromal tumour, which presented with intermittent abdominal pain and gastric outlet obstruction, is reported. Pre-operative diagnosis was made on abdominal CT and confirmed at laparotomy. Pre-operative diagnostic difficulties and management are discussed.

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Gastroduodenal Intussusception of a Gastrointestinal Stromal Tumor (GIST)

Rittenhouse

Lim

Shirley

et al. 2013

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors in adults. They frequently occur in the stomach. Gastric GISTs typically present as a gastrointestinal bleed but can sometimes cause obstructive symptoms such as nausea and vomiting. We present a patient with a gastric GIST and liver metastases who during treatment with iminitab therapy presented with an acute gastric outlet obstruction. A computed tomography scan revealed a gastroduodenal intussusception of the gastric GIST. The patient underwent a laparoscopic exploration and resection of the GIST. We reviewed the English language literature of GISTs that presented as a gastroduodenal intussusception and put our case in the context of the previously reported cases. We discuss the diagnostic and therapeutic challenges that arise when treating these patients.

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Endoscopic Diagnosis of Gastroduodenal Intussusception

Cited by 5 publications

References 0 publications

Carbohydrate antigen 19‐9‐producing early protruded gastric carcinoma prolapsing into the duodenal bulb

Carbohydrate antigen 19‐9‐producing early protruded gastric carcinoma prolapsing into the duodenal bulb

Gastroduodenal intussusception of a gastrointestinal stromal tumour

Gastroduodenal Intussusception of a Gastrointestinal Stromal Tumor (GIST)

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