Journal of Gastroenterology

, Volume 39, Issue 3, pp 277–283

Duodenal gangliocytic paraganglioma treated with endoscopic hemostasis and resection

  • Takayuki Nagai
  • Ryutarou Torishima
  • Hiroshi Nakashima
  • Jin Tanahashi
  • Megumi Iwata
  • Hitoshi Ookawara
  • Shigeo Yokoyama
  • Kazuhiro Yada
  • Ryugo Sato
  • Kazunari Murakami
  • Toshio Fujioka
Case report

DOI: 10.1007/s00535-003-1289-2

Cite this article as:
Nagai, T., Torishima, R., Nakashima, H. et al. J Gastroenterol (2004) 39: 277. doi:10.1007/s00535-003-1289-2

Abstract

Gangliocytic paragangliomas are exceedingly rare tumors that arise in close proximity to the papilla of Vater. There are few reports of the endoscopic resection of duodenal gangliocytic paraganglioma. A 61-year-old woman was admitted with a complaint of melena. Endoscopic examination revealed a pedunculated submucosal tumor with erosion in the third portion of the duodenum. Hemostasis, using a gold probe, was performed. Nine days later, we successfully resected the tumor, using endoscopic polypectomy. To determine the depth of tumor invasion, endoscopic ultrasonography was used. The size of the tumor was 3.0 × 2.5 × 1.0 cm. A total of 25 cases of duodenal gangliocytic paraganglioma have been reported in Japan. Generally, this tumor is considered benign. However, resection was performed in many patients because preoperative diagnosis was impossible. In Japan, no previous studies have reported using endoscopic hemostasis, to our knowledge. Our patient is the fourth in Japan to be treated by endoscopic resection. We report on our patient, with a review of the literature.

Key words

gangliocytic paraganglioma duodenum gold probe 

Copyright information

© Springer-Verlag Tokyo 2004

Authors and Affiliations

  • Takayuki Nagai
    • 1
  • Ryutarou Torishima
    • 1
  • Hiroshi Nakashima
    • 1
  • Jin Tanahashi
    • 1
  • Megumi Iwata
    • 1
  • Hitoshi Ookawara
    • 1
  • Shigeo Yokoyama
    • 2
  • Kazuhiro Yada
    • 2
  • Ryugo Sato
    • 3
  • Kazunari Murakami
    • 3
  • Toshio Fujioka
    • 4
  1. 1.Department of GastroenterologyOita Kouseiren Tsurumi HospitalBeppuJapan
  2. 2.The First Department of PathologyOita Medical UniversityOitaJapan
  3. 3.Second Department of Internal MedicineOita Medical UniversityOitaJapan
  4. 4.Department of General MedicineOita Medical UniversityOitaJapan

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