Antral Deformity Due to Perigastric Adhesions or Bands Simulating Carcinoma of the Stomach

Geffen, Abraham; Feldman, Frieda

doi:10.1148/77.2.237

Cited by 6 publications

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“…Los reportes de casos sobre estenosis de estómago en pediatría son escasos, sin embargo se han descrito casos de estenosis de estómago post-traumático debido a adherencias peri-gástrica en adultos [6]; otros reportes como lo describe Geffen et al, donde se presentan diez casos de deformidad antral por adherencias o bandas peri gástricas; de las cuales seis por cirugía previa de vías biliares, tres por úlcera péptica perforada previa o reparación quirúrgica de perforación y uno por banda congénita [7]. En los últimos años, solamente se han descrito en la literatura casos de estenosis intestinal postraumática en niños, tal son los casos descritos por Faure et al, donde se describe 2 casos (4 y 10 años) con estenosis yeyunal post contusión en la pared abdominal [8].…”

Section: Discussionunclassified

Estenosis de estómago postraumática

2023

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La estenosis de estómago postraumática es una entidad rara, principalmente en pediatría. Presentamos un caso donde se desarrolla estenosis de estómago secundaria a trauma abdominal cerrado por atropello. En estudios radiológicos se evidencia estómago con aspecto tubular, aperistáltico; comprobado por vía endoscópica. La dilatación gástrica con balón neumático se elige como opción terapéutica.

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Section: Discussionunclassified

Estenosis de estómago postraumática

2023

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“…Antral or pyloric deformity such as narrowing and distortion is usually caused by peptic ulcer scarring 8,19. ESD can cause a large artificial ulcer with gastric deformities during the healing process.…”

Section: Discussionmentioning

confidence: 99%

Antral or Pyloric Deformity Is a Risk Factor for the Development of Postendoscopic Submucosal Dissection Pyloric Strictures

et al. 2016

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Background/AimsSurgeons must be aware of risk factors for strictures before performing endoscopic submucosal dissection (ESD), to enable early interventions to prevent severe strictures.MethodsThis study was a single-center retrospective study. We reviewed the clinical data of patients who has undergone gastric ESD from January 2007 to December 2012.ResultsAmong the 3,819 patients who had undergone gastric ESD, 11 patients (7.2%) developed pyloric strictures and received successful endoscopic balloon dilation. Significant differences were noted between the patients without and with post-ESD strictures for pretreatment of antral or pyloric deformities (46.4% vs 81.8%), the proportion of extension to the lumen circumference (>3/4, 9.4% vs 54.5%), the longitudinal extent of mucosal defects (27.9±10.1 mm vs 51.5±10.8 mm), and post-ESD bleeding (2.9% vs 27.3%). Multivariate analysis revealed that pretreatment antral or pyloric deformities (odds ratio [OR], 30.53; 95% confidence interval [CI], 1.476 to 631.565; p=0.027), larger longitudinal extent of mucosal defects (OR, 1.20; 95% CI, 1.074 to 1.340; p=0.001), and circumferential extension of 3/4 (OR, 13.69; 95% CI, 1.583 to 118.387; p=0.017) were independent risk factors for post-ESD stricture.ConclusionsAntral or pyloric deformities, sub-circumferential resection over more than 75% of the circumference and greater longitudinal extent of mucosal defects are independent risk factors for post-ESD stricture.

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Antral Deformity Due to Perigastric Adhesions or Bands Simulating Carcinoma of the Stomach

Cited by 6 publications

References 3 publications

Estenosis de estómago postraumática

Estenosis de estómago postraumática

Antral or Pyloric Deformity Is a Risk Factor for the Development of Postendoscopic Submucosal Dissection Pyloric Strictures

Röntgenuntersuchung des Magens

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