十二指肠球部微小黏膜隆起的临床分析

目的探讨十二指肠球部直径≤0.5cm黏膜隆起性病变的内镜特征、病理及其与临床的关系。 方法回顾性分析解放军总医院海南分院消化科2012年8月至2018年3月期间25例十二指肠球部微小黏膜隆起性病变的内镜表现特点及病理。 结果25例患者内镜表现为单个或多个广基息肉状隆起，10例患者于十二指肠球部黏膜隆起行活检病理检查，其中，十二指肠球慢性炎3例，十二指肠球慢性炎伴腺体增生2例，十二指肠球胃黏膜异位5例。 结论十二指肠球部黏膜直径≤0.5 cm的广基息肉状隆起多为慢性炎症所致的良性增生性病变及胃黏膜异位。

The clinical study of puny mucosal prominence in the duodenal bulb

ObjectiveThe endoscopic characteristics, pathology and clinical significance of prominent duodenal bulb mucosal lesions≤5 mm in diameter were observed. MethodsThe endoscopic features and pathology of 25 cases with small mucosa protuberant lesions≤0.5 cm in the duodenal bulb during the period from August 2012 to March 2018 in the Hainan branch of Chinese PLA General Hospital were analyzed retrospectively. ResultsSingle or multiple sessile polypoid prominences were viewed by gastroscope. Ten cases were performed biopsy for pathology: 3 cases with chronic duodenitis, 2 cases with chronic duodenitis and metaplasia of glandular epithelium, 5 cases with ectopic gastric mucosa. ConclusionThe mucosal prominences≤0.5 cm in diameter of the duodenal bulb were mostly benign hyperplasia and ectopic gastric mucosa caused by chronic inflammation.