Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison

Apurva Sharma; Sonmoon Mohapatra; Kheng-Jim Lim; Abhijeet Chaubal; Arkady Broder

doi:doi:10.11648/j.js.20170503.12

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Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison

Apurva Sharma, Sonmoon Mohapatra, Kheng-Jim Lim, Abhijeet Chaubal, Arkady Broder

Published in Journal of Surgery (Volume 5, Issue 3)

Received: 1 March 2017 Accepted: 30 March 2017 Published: 3 May 2017

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Abstract

Gastric outlet obstruction is a common entity described with numerous benign and malignant causes. Historically, benign causes include Peptic Ulcer disease (PUD); however recent cases have reported other causes including Eosinophilic Gastroenteritis (EGE), Brunner’s Gland Hyperplasia (BGH) and Pancreatic Heterotopia (PH). We present an unusual case of a 31 year old male patient with severe gastric outlet obstruction requiring surgical intervention caused by all three pathologies in unison – EGE, BGH and PH. The patient underwent surgical resection with distal gastrectomy and Billroth II reconstruction. Histology confirmed the three pathologies and post-operative recovery of the patient was uneventful.

Published in	Journal of Surgery (Volume 5, Issue 3)
DOI	10.11648/j.js.20170503.12
Page(s)	43-46
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia, Pancreatic Heterotopia

References

[1]	Appasani S, Kochhar R, Nagi B, Gupta V. Benign gastric outlet obstruction--spectrum and management. Trop Gastroenterol. 2011; 32(4):259-66.
[2]	Mori A, Enweluzo C, Grier D, Badireddy M. Eosinophilic gastroenteritis: Review of a Rare and Treatable disease of the Gastrointestinal Tract. Case Rep Gastroenterol 2013; 7(2):293-8.
[3]	Talley NJ, Shorter RG, Phillips SF, Zinmeister AR. Eosinophilic Gastroenteritis:a clinicopathological study of patients with disease of mucosa, muscle layer and subserosal tissues. Gut. 1990; 31:54-5.
[4]	Chaudhary R, Shrivastava RK, Mukhopadhyay HG, Diwan RN, Das AK. Eosinophilic gastritis--an unusual cause of gastric outlet obstruction. Indian J Gastroenterol 2001; 20(3):110.
[5]	Suraweera DB, Amin J, Baltayan A, Hu R. Brunner’s Gland Hyperplasia: A Rare Cause Of Gastric Outlet Obstruction and a Review of Treatment Strategies. J Gastroenterol Hepatol Res. 2015; 4(7):1698-701.
[6]	Krishnamurthy P, Junaid O, Moezzi J, MD, Ali SA, Gopalswamy N. Gastric outlet obstruction caused by Brunner's gland hyperplasia: case report and review of literature. GIE.2006; 64(3):464–67.
[7]	Dhinakar M, Allaya DJ, Golash. A Rare Case of Brunneroma Duodenum causing Gastric Outlet Obstruction. OMJ. 2010;25: 44-46.
[8]	Deshpande VP, Raghunath BV, Sarin YK, Sinha S. Heterotopic pancreas causing duodenal obstruction in a patient previously treated for choledochal cyst. J Indian Assoc Pediatr Surg. 2012; 17(1):40–2.
[9]	Trifan A, Tarcoveanu E, Danciu M, Hutanasu, Cojocariu C. Gastric Heterotopic Pancreas:An unusual case and Review of Literature. J Gastrointestin Liver Dis. 2012; 21(2):209-12.
[10]	Ormarsson OT, Haugen SE, Juul I. Gastric outlet obstruction caused by Heterotopic pancreas. Eur J Pediatr Surg. 2003; 13(6):410-3.

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APA Style

Apurva Sharma, Sonmoon Mohapatra, Kheng-Jim Lim, Abhijeet Chaubal, Arkady Broder. (2017). Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison. Journal of Surgery, 5(3), 43-46. https://doi.org/10.11648/j.js.20170503.12

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ACS Style

Apurva Sharma; Sonmoon Mohapatra; Kheng-Jim Lim; Abhijeet Chaubal; Arkady Broder. Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison. J. Surg. 2017, 5(3), 43-46. doi: 10.11648/j.js.20170503.12

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AMA Style

Apurva Sharma, Sonmoon Mohapatra, Kheng-Jim Lim, Abhijeet Chaubal, Arkady Broder. Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison. J Surg. 2017;5(3):43-46. doi: 10.11648/j.js.20170503.12

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@article{10.11648/j.js.20170503.12,
  author = {Apurva Sharma and Sonmoon Mohapatra and Kheng-Jim Lim and Abhijeet Chaubal and Arkady Broder},
  title = {Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison},
  journal = {Journal of Surgery},
  volume = {5},
  number = {3},
  pages = {43-46},
  doi = {10.11648/j.js.20170503.12},
  url = {https://doi.org/10.11648/j.js.20170503.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170503.12},
  abstract = {Gastric outlet obstruction is a common entity described with numerous benign and malignant causes. Historically, benign causes include Peptic Ulcer disease (PUD); however recent cases have reported other causes including Eosinophilic Gastroenteritis (EGE), Brunner’s Gland Hyperplasia (BGH) and Pancreatic Heterotopia (PH). We present an unusual case of a 31 year old male patient with severe gastric outlet obstruction requiring surgical intervention caused by all three pathologies in unison – EGE, BGH and PH. The patient underwent surgical resection with distal gastrectomy and Billroth II reconstruction. Histology confirmed the three pathologies and post-operative recovery of the patient was uneventful.},
 year = {2017}
}

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TY  - JOUR
T1  - Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison
AU  - Apurva Sharma
AU  - Sonmoon Mohapatra
AU  - Kheng-Jim Lim
AU  - Abhijeet Chaubal
AU  - Arkady Broder
Y1  - 2017/05/03
PY  - 2017
N1  - https://doi.org/10.11648/j.js.20170503.12
DO  - 10.11648/j.js.20170503.12
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 43
EP  - 46
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20170503.12
AB  - Gastric outlet obstruction is a common entity described with numerous benign and malignant causes. Historically, benign causes include Peptic Ulcer disease (PUD); however recent cases have reported other causes including Eosinophilic Gastroenteritis (EGE), Brunner’s Gland Hyperplasia (BGH) and Pancreatic Heterotopia (PH). We present an unusual case of a 31 year old male patient with severe gastric outlet obstruction requiring surgical intervention caused by all three pathologies in unison – EGE, BGH and PH. The patient underwent surgical resection with distal gastrectomy and Billroth II reconstruction. Histology confirmed the three pathologies and post-operative recovery of the patient was uneventful.
VL  - 5
IS  - 3
ER  -

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Author Information

Apurva Sharma

Department of Medicine, Saint Peters University Hospital, New Brunswick, USA
Sonmoon Mohapatra

Department of Medicine, Saint Peters University Hospital, New Brunswick, USA
Kheng-Jim Lim

Department of Medicine, Division Gastroenterology and Hepatology, Rutgers Medical School Robert Wood Johnson, New Brunswick, USA
Abhijeet Chaubal

Department of Pathology, Saint Peters University Hospital, New Brunswick, USA
Arkady Broder

Department of Medicine, Division of Gastroenterology and Hepatology, Saint Peters University Hospital, New Brunswick, USA

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Plain Text BibTeX RIS

APA Style

Apurva Sharma, Sonmoon Mohapatra, Kheng-Jim Lim, Abhijeet Chaubal, Arkady Broder. (2017). Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison. Journal of Surgery, 5(3), 43-46. https://doi.org/10.11648/j.js.20170503.12

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ACS Style

Apurva Sharma; Sonmoon Mohapatra; Kheng-Jim Lim; Abhijeet Chaubal; Arkady Broder. Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison. J. Surg. 2017, 5(3), 43-46. doi: 10.11648/j.js.20170503.12

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AMA Style

Apurva Sharma, Sonmoon Mohapatra, Kheng-Jim Lim, Abhijeet Chaubal, Arkady Broder. Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison. J Surg. 2017;5(3):43-46. doi: 10.11648/j.js.20170503.12

Copy | Download

@article{10.11648/j.js.20170503.12,
  author = {Apurva Sharma and Sonmoon Mohapatra and Kheng-Jim Lim and Abhijeet Chaubal and Arkady Broder},
  title = {Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison},
  journal = {Journal of Surgery},
  volume = {5},
  number = {3},
  pages = {43-46},
  doi = {10.11648/j.js.20170503.12},
  url = {https://doi.org/10.11648/j.js.20170503.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170503.12},
  abstract = {Gastric outlet obstruction is a common entity described with numerous benign and malignant causes. Historically, benign causes include Peptic Ulcer disease (PUD); however recent cases have reported other causes including Eosinophilic Gastroenteritis (EGE), Brunner’s Gland Hyperplasia (BGH) and Pancreatic Heterotopia (PH). We present an unusual case of a 31 year old male patient with severe gastric outlet obstruction requiring surgical intervention caused by all three pathologies in unison – EGE, BGH and PH. The patient underwent surgical resection with distal gastrectomy and Billroth II reconstruction. Histology confirmed the three pathologies and post-operative recovery of the patient was uneventful.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Gastric Outlet Obstruction Caused by a Triple Lesion: Eosinophilic Gastroenteritis, Brunner’s Gland Hyperplasia and Pancreatic Heterotopia in Unison
AU  - Apurva Sharma
AU  - Sonmoon Mohapatra
AU  - Kheng-Jim Lim
AU  - Abhijeet Chaubal
AU  - Arkady Broder
Y1  - 2017/05/03
PY  - 2017
N1  - https://doi.org/10.11648/j.js.20170503.12
DO  - 10.11648/j.js.20170503.12
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 43
EP  - 46
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20170503.12
AB  - Gastric outlet obstruction is a common entity described with numerous benign and malignant causes. Historically, benign causes include Peptic Ulcer disease (PUD); however recent cases have reported other causes including Eosinophilic Gastroenteritis (EGE), Brunner’s Gland Hyperplasia (BGH) and Pancreatic Heterotopia (PH). We present an unusual case of a 31 year old male patient with severe gastric outlet obstruction requiring surgical intervention caused by all three pathologies in unison – EGE, BGH and PH. The patient underwent surgical resection with distal gastrectomy and Billroth II reconstruction. Histology confirmed the three pathologies and post-operative recovery of the patient was uneventful.
VL  - 5
IS  - 3
ER  -

Copy | Download