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Ménétrier’s Disease of the Stomach: A Clinical Challenge

  • Nils W. G. LambrechtEmail author
Stomach and Duodenum (Joseph R. Pisegna, Section Editor)

Abstract

Ménétrier’s disease is a rare hyperproliferative protein-losing gastropathy of the gastric foveolar epithelium. Most common symptoms include epigastric pain with fullness and vomiting, and generalized peripheral edema with hypoalbuminemia. Radiologically, the wall of the gastric body and fundus is diffusely thickened, often with antral sparing. Giant rugal edematous folds are seen on gastroscopy, and histology of biopsy material shows diffuse foveolar hyperplasia with cystic dilatation of the glandular portion of the gastric mucosa in the absence of significant inflammatory infiltrate. The recent discovery of transforming growth factor α overexpression opens the way of epidermal growth factor receptor blockade with cetuximab as first-line treatment modality in severe cases of Ménétrier’s disease.

Keywords

Ménétrier’s disease Hyperproliferative protein-losing gastropathy Stomach TGFα EGFR Cetuximab 

Notes

Disclosure

No potential conflicts of interest relevant to this article were reported.

References

Papers of particular interest, published recently, have been highlighted as: •Of importance

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Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2011

Authors and Affiliations

  1. 1.Gastrointestinal EndocrinologyLong Beach VA Medical CenterLong BeachUSA

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