深在性囊性胃炎6例诊治分析

Diagnosis and treatment of gastritis cystica profunda (6 cases)

摘要:

目的   分析深在性囊性胃炎临床表现、CT、胃镜、超声内镜检查，以及治疗方式，提高对该病的认识。方法   回顾分析6例深在性囊性胃炎的临床表现、CT、胃镜、超声内镜及病理资料。结果   6例患者中CT提示3例为胃癌，3例考虑胃部肿块。胃镜均提示隆起病变。超声内镜均诊断为深在性囊性胃炎。6例患者均行内镜黏膜下剥离术（ESD），病理均符合深在性囊性胃炎。结论   超声内镜结合内镜黏膜切除术（EMR）或ESD可以提高诊断率，对于不伴随恶性肿瘤的深在性囊性胃炎，可行ESD治疗。

Abstract:

Objective To analyze the clinical manifestations, computed tomography scan (CT), gastroscope, endoscopic ultrasonography (EUS), and therapy method of gastritis cystica profunda. Methods Retrospectively analyzed clinical manifestations, CT, gastroscope, EUS, and pathological results of 6 cases of gastritis cystica profunda. Results In these 6 cases, 3 of them were doubted gastric carcinoma, 3 cases were considered stomach mass by CT. Gastroscope hinted apophysis lesions, but all cases were suggested gastritis cystica profunda by EUS. And all cases were removed through endoscopic submucosal dissection (ESD). Pathology were confirmed the diagnosis. Conclusion EUS combined with endoscopic mucosal resection (EMR) or ESD technique can improve the diagnostic rate. For gastritis cystica profunda which are not associated with malignant tumor can be treated through ESD.