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Liyen Cartelle A, Holzwanger EA, Igbinedion S, Mahmood S, Rosenberg HJ, Berzin TM, Sawhney MS, Gabr M, Pleskow DK. Pyloric Gastric Adenoma: Endoscopic Detection, Removal, and Echoendosonographic Characterization. ACG Case Rep J 2023; 10:e01229. [PMID: 38130477 PMCID: PMC10735058 DOI: 10.14309/crj.0000000000001229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 11/09/2023] [Indexed: 12/23/2023] Open
Abstract
Pyloric gland adenomas (PGAs) are rare neoplasms found not only in the gastrointestinal tract but also in other extragastrointestinal organs. They have potential for malignant conversion, and early detection and removal is imperative to prevent invasive disease. PGAs prove difficult in management and surveillance given their rarity. However, increasing familiarity with histological appearance and use of advanced tools such as echoendosonography can bring greater understanding of their clinical history. We describe a unique case of a PGA detected within a hiatal hernia sac characterized with echoendosonography and highlight the need to develop surveillance protocols for these types of lesions.
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Affiliation(s)
- Anabel Liyen Cartelle
- Department of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Erik A. Holzwanger
- Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Samuel Igbinedion
- Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Sultan Mahmood
- Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Harry J. Rosenberg
- Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Tyler M. Berzin
- Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Mandeep S. Sawhney
- Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Moamen Gabr
- Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
| | - Douglas K. Pleskow
- Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
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Lee HD, Magulick JP, Quiles JG. Multifocal Pyloric Gland Adenoma of the Esophagus Treated by Circumferential Endoscopic Submucosal Dissection. ACG Case Rep J 2023; 10:e01039. [PMID: 37143761 PMCID: PMC10153997 DOI: 10.14309/crj.0000000000001039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 03/27/2023] [Indexed: 05/06/2023] Open
Abstract
Pyloric gland adenoma is a rare neoplasm of the gastrointestinal tract typically observed in the stomach with a substantial malignant potential warranting its resection. While isolated esophageal pyloric gland adenoma has been reported, there is no literature on the encounter of diffuse, multifocal esophageal pyloric gland adenoma or its management. We present a unique case of multifocal pyloric gland adenoma of the esophagus treated by circumferential endoscopic submucosal dissection. We demonstrate endoscopic submucosal dissection to be a feasible management option.
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Affiliation(s)
- Howard D. Lee
- Division of Gastroenterology and Hepatology, Department of Medicine, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Fort Sam Houston, TX
| | - John P. Magulick
- Division of Gastroenterology and Hepatology, Department of Medicine, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Fort Sam Houston, TX
| | - John G. Quiles
- Division of Gastroenterology and Hepatology, Department of Medicine, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Fort Sam Houston, TX
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