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Brunner's gland hamartoma: a rare cause of iron deficiency anaemia and report of an adapted colonic polyp resection technique.

Abstract A man aged 65 years presented with symptomatic anaemia without overt gastrointestinal bleeding. An oesophagogastroduodenoscopy (EGD) was performed and he was found to have a large ulcerated pedunculated Brunner's gland hamartoma in the duodenal bulb. The polyp was resected using snare cautery in forward and retroflexed positions. Colonoscopy was also performed and a few diminutive polyps were resected. A year later, the patient returned for a surveillance EGD, and no residual polyp was noted. Haemoglobin and iron studies normalised within a few months after polypectomy, with resolution of symptoms.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title bmj case reports
Publication Year Start




PMID- 28275018
OWN - NLM
STAT- MEDLINE
DA  - 20170309
DCOM- 20170316
LR  - 20170316
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Mar 08
TI  - Brunner's gland hamartoma: a rare cause of iron deficiency anaemia and report of 
      an adapted colonic polyp resection technique.
LID - bcr2016218628 [pii]
LID - 10.1136/bcr-2016-218628 [doi]
AB  - A man aged 65 years presented with symptomatic anaemia without overt
      gastrointestinal bleeding. An oesophagogastroduodenoscopy (EGD) was performed and
      he was found to have a large ulcerated pedunculated Brunner's gland hamartoma in 
      the duodenal bulb. The polyp was resected using snare cautery in forward and
      retroflexed positions. Colonoscopy was also performed and a few diminutive polyps
      were resected. A year later, the patient returned for a surveillance EGD, and no 
      residual polyp was noted. Haemoglobin and iron studies normalised within a few
      months after polypectomy, with resolution of symptoms.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - Judd, Stephanie
AU  - Judd S
AD  - John D Dingell VA Medical Center, Detroit, Michigan, USA.
FAU - Patel, Suhag
AU  - Patel S
AD  - Department of Gastroenterology, Detroit Medical Center, Detroit, Michigan, USA.
FAU - Levi, Edi
AU  - Levi E
AD  - John D Dingell VA Medical Center, Detroit, Michigan, USA.
FAU - Antaki, Fadi
AU  - Antaki F
AD  - John D Dingell VA Medical Center, Detroit, Michigan, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170308
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Aged
MH  - Anemia, Iron-Deficiency
MH  - Brunner Glands/*pathology/surgery
MH  - Colonic Polyps/diagnosis/*surgery
MH  - Duodenal Diseases/*etiology/pathology/surgery
MH  - Hamartoma/*etiology/pathology/surgery
MH  - Humans
MH  - Male
MH  - Treatment Outcome
EDAT- 2017/03/10 06:00
MHDA- 2017/03/17 06:00
CRDT- 2017/03/10 06:00
AID - bcr-2016-218628 [pii]
AID - 10.1136/bcr-2016-218628 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Mar 8;2017. pii: bcr2016218628. doi: 10.1136/bcr-2016-218628.

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