Application Value of Endoscopic Ultrasonography in Diagnosing and Treating the Hyperplasia of Duodenal Brunner Gland
ZHU Ai-hua1, WANG Qian2
1.Department of Ultrasound, Traditional Chinese Medicine Hospital of Longhua, Longhua Hebei 068150, China; 2.Ultrasonic Cardiogram Room, Chengde Maternal and Child Health Hospital, Chengde Hebei 067000, China
Abstract:Objective To explore the application value of endoscopic ultrasonography in diagnosing and treating the hyperplasia of duodenal brunner gland. Methods Gastroscopy materials, EUS materials as well as treatment and prognosis materials of 32 patients who were confirmed as hyperplasia of duodenal brunner gland by pathology in our hospital from January 2010 to October 2013 were retrospectively analyzed. Results After conventional gastroscopy examination, 9 patients were diagnosed as single or multiple polyps, 11 patients were diagnosed as duodenal single cysts and 12 patients were diagnosed as multiple cysts. After endoscopic ultrasonography examination, 30 patients were diagnosed as duodenal submucosal cystic lesion: hyperplasia of brunner gland, 2 patients were misdiagnosed as duodenal polypus. 14 patients who suffered from non pedicled cystic lesions were treated by breaking and removing the cyst wall with mouse tooth forceps. 7 patients who suffered from pedunculated lesions were treated with snare electrocoagulation. The other 11 patients who suffered from flat elevated were treated with the argon ion beam removal therapy. The treatment effects were good, as there was no clinical complication such as massive bleeding and perforation occurred. Conclusion Endoscopic ultrasonography has great value in diagnosing and treating the hyperplasia of duodenal brunner gland.
祝爱华,王倩. 超声内镜在十二指肠Brunner腺增生诊断及治疗中的应用价值[J]. 中国医疗设备, 2014, 29(12): 170-171.
ZHU Ai-hua, WANG Qian. Application Value of Endoscopic Ultrasonography in Diagnosing and Treating the Hyperplasia of Duodenal Brunner Gland. China Medical Devices, 2014, 29(12): 170-171.