Brunner’s Gland Adenoma – A Rare Cause of Gastrointestinal Bleeding: Case Report and Systematic Review
Brunner’s gland adenoma is an extremely rare benign small bowel neoplasm, often discovered incidentally during upper gastrointestinal endoscopy or radiological diagnostics. In few cases, it tends to cause gastrointestinal hemorrhage or intestinal obstruction. We report here our experience with a 47-...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2017-01-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/454711 |
| _version_ | 1818348831919570944 |
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| author | Michele Sorleto Annette Timmer-Stranghöner Helge Wuttig Oliver Engelhard Carsten Gartung |
| author_facet | Michele Sorleto Annette Timmer-Stranghöner Helge Wuttig Oliver Engelhard Carsten Gartung |
| author_sort | Michele Sorleto |
| collection | DOAJ |
| description | Brunner’s gland adenoma is an extremely rare benign small bowel neoplasm, often discovered incidentally during upper gastrointestinal endoscopy or radiological diagnostics. In few cases, it tends to cause gastrointestinal hemorrhage or intestinal obstruction. We report here our experience with a 47-year-old woman with a Brunner’s gland adenoma of more than 6 cm in size, located in the first part of the duodenum and causing gastrointestinal bleeding. Initially, we performed a partial endoscopic resection using endoloop and snare alternatively to prevent severe bleeding. A rest endoscopic polypectomy with the submucosal dissection technique was planned. However, on request of the patient, an elective surgical duodenotomy with submucosal resection of the remaining small duodenal tumor was performed. To better define the patient’s characteristics and treatment options of such lesions, we performed a systematic review of the available literature in PubMed. Recently, an endoscopic removal is being increasingly practiced and is considered as a safe treatment modality of such lesions. |
| first_indexed | 2024-12-13T17:56:19Z |
| format | Article |
| id | doaj.art-354fa80e65da449686769cf3e2d95aba |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-13T17:56:19Z |
| publishDate | 2017-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-354fa80e65da449686769cf3e2d95aba2022-12-21T23:36:22ZengKarger PublishersCase Reports in Gastroenterology1662-06312017-01-011111810.1159/000454711454711Brunner’s Gland Adenoma – A Rare Cause of Gastrointestinal Bleeding: Case Report and Systematic ReviewMichele SorletoAnnette Timmer-StranghönerHelge WuttigOliver EngelhardCarsten GartungBrunner’s gland adenoma is an extremely rare benign small bowel neoplasm, often discovered incidentally during upper gastrointestinal endoscopy or radiological diagnostics. In few cases, it tends to cause gastrointestinal hemorrhage or intestinal obstruction. We report here our experience with a 47-year-old woman with a Brunner’s gland adenoma of more than 6 cm in size, located in the first part of the duodenum and causing gastrointestinal bleeding. Initially, we performed a partial endoscopic resection using endoloop and snare alternatively to prevent severe bleeding. A rest endoscopic polypectomy with the submucosal dissection technique was planned. However, on request of the patient, an elective surgical duodenotomy with submucosal resection of the remaining small duodenal tumor was performed. To better define the patient’s characteristics and treatment options of such lesions, we performed a systematic review of the available literature in PubMed. Recently, an endoscopic removal is being increasingly practiced and is considered as a safe treatment modality of such lesions.http://www.karger.com/Article/FullText/454711Brunner’s gland adenomaGastrointestinal bleedingSmall bowel neoplasmEndoscopic removal |
| spellingShingle | Michele Sorleto Annette Timmer-Stranghöner Helge Wuttig Oliver Engelhard Carsten Gartung Brunner’s Gland Adenoma – A Rare Cause of Gastrointestinal Bleeding: Case Report and Systematic Review Case Reports in Gastroenterology Brunner’s gland adenoma Gastrointestinal bleeding Small bowel neoplasm Endoscopic removal |
| title | Brunner’s Gland Adenoma – A Rare Cause of Gastrointestinal Bleeding: Case Report and Systematic Review |
| title_full | Brunner’s Gland Adenoma – A Rare Cause of Gastrointestinal Bleeding: Case Report and Systematic Review |
| title_fullStr | Brunner’s Gland Adenoma – A Rare Cause of Gastrointestinal Bleeding: Case Report and Systematic Review |
| title_full_unstemmed | Brunner’s Gland Adenoma – A Rare Cause of Gastrointestinal Bleeding: Case Report and Systematic Review |
| title_short | Brunner’s Gland Adenoma – A Rare Cause of Gastrointestinal Bleeding: Case Report and Systematic Review |
| title_sort | brunner s gland adenoma a rare cause of gastrointestinal bleeding case report and systematic review |
| topic | Brunner’s gland adenoma Gastrointestinal bleeding Small bowel neoplasm Endoscopic removal |
| url | http://www.karger.com/Article/FullText/454711 |
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