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A case of stenotic change from gastric candidiasis managed with temporary stent insertion.

Joo MK, Park JJ, Lee BJ, Kim JH, Yeon JE, Kim JS, Byun KS, Bak YT - Gut Liver (2011)

Bottom Line: Invasive gastric Candida infection in patient with co-morbidity can cause stenotic change if it is developed at anatomically narrowing portion, such as distal antrum, pylorus, or duodenal bulb.Palliative placement of self-expandable metallic stent has been settled as a standard management of malignant gastric pyloric obstruction and it is expected to be applied in benign stenotic lesions due to its gradual dilation effect.We described a case of stenosis by diffuse gastric Candidasis at anastomosis of subtotal gastrectomy, which was managed by temporary placement of self-expandable metallic stent.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

ABSTRACT
Invasive gastric Candida infection in patient with co-morbidity can cause stenotic change if it is developed at anatomically narrowing portion, such as distal antrum, pylorus, or duodenal bulb. However, proper management of benign stenosis by diffuse gastric Candidasis is still under controversy and palliative bypass surgery has several shortcomings because high risk operative group may be included in this case. Palliative placement of self-expandable metallic stent has been settled as a standard management of malignant gastric pyloric obstruction and it is expected to be applied in benign stenotic lesions due to its gradual dilation effect. We described a case of stenosis by diffuse gastric Candidasis at anastomosis of subtotal gastrectomy, which was managed by temporary placement of self-expandable metallic stent.

No MeSH data available.


Related in: MedlinePlus

(A) An esophagogastroduodenoscopic finding following treatment of gastric Candidiasis. The tip of the scope can not be passed through the stenotic portion at the anastomosis site. (B) A gastroduodenographic finding. Partial narrowing near the anastomosis site is detected.
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Figure 3: (A) An esophagogastroduodenoscopic finding following treatment of gastric Candidiasis. The tip of the scope can not be passed through the stenotic portion at the anastomosis site. (B) A gastroduodenographic finding. Partial narrowing near the anastomosis site is detected.

Mentions: However, his nausea and vomiting recurred after discharge, thus he underwent follow-up esophagogastroduodenoscopy. Ulcerative lesion was much improved comparing with previous findings, however stenotic change at pre-anastomosis site was developed and tip of the scope could not be passed through the narrowing portion (Fig. 3A). Gastroduodenography also indicated partial narrowing near anastomosis site (Fig. 3B). Therefore we inserted SEMS (Bonastent®, covered; Standard Sci Tech, Seoul, Korea) through the anastomosis site at three months after referral (Fig. 4A). After the procedure, his symptom was nearly resolved and did not recur thereafter. On follow-up esophagogastroduodenoscopy which was performed at two months after procedure, the stent was migrated from the anastomosis site and expelled outside the gastrointestinal tract spontaneously. However, anastomosis site remained dilated and the tip of endoscope could be passed through well (Fig. 4B).


A case of stenotic change from gastric candidiasis managed with temporary stent insertion.

Joo MK, Park JJ, Lee BJ, Kim JH, Yeon JE, Kim JS, Byun KS, Bak YT - Gut Liver (2011)

(A) An esophagogastroduodenoscopic finding following treatment of gastric Candidiasis. The tip of the scope can not be passed through the stenotic portion at the anastomosis site. (B) A gastroduodenographic finding. Partial narrowing near the anastomosis site is detected.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3140673&req=5

Figure 3: (A) An esophagogastroduodenoscopic finding following treatment of gastric Candidiasis. The tip of the scope can not be passed through the stenotic portion at the anastomosis site. (B) A gastroduodenographic finding. Partial narrowing near the anastomosis site is detected.
Mentions: However, his nausea and vomiting recurred after discharge, thus he underwent follow-up esophagogastroduodenoscopy. Ulcerative lesion was much improved comparing with previous findings, however stenotic change at pre-anastomosis site was developed and tip of the scope could not be passed through the narrowing portion (Fig. 3A). Gastroduodenography also indicated partial narrowing near anastomosis site (Fig. 3B). Therefore we inserted SEMS (Bonastent®, covered; Standard Sci Tech, Seoul, Korea) through the anastomosis site at three months after referral (Fig. 4A). After the procedure, his symptom was nearly resolved and did not recur thereafter. On follow-up esophagogastroduodenoscopy which was performed at two months after procedure, the stent was migrated from the anastomosis site and expelled outside the gastrointestinal tract spontaneously. However, anastomosis site remained dilated and the tip of endoscope could be passed through well (Fig. 4B).

Bottom Line: Invasive gastric Candida infection in patient with co-morbidity can cause stenotic change if it is developed at anatomically narrowing portion, such as distal antrum, pylorus, or duodenal bulb.Palliative placement of self-expandable metallic stent has been settled as a standard management of malignant gastric pyloric obstruction and it is expected to be applied in benign stenotic lesions due to its gradual dilation effect.We described a case of stenosis by diffuse gastric Candidasis at anastomosis of subtotal gastrectomy, which was managed by temporary placement of self-expandable metallic stent.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

ABSTRACT
Invasive gastric Candida infection in patient with co-morbidity can cause stenotic change if it is developed at anatomically narrowing portion, such as distal antrum, pylorus, or duodenal bulb. However, proper management of benign stenosis by diffuse gastric Candidasis is still under controversy and palliative bypass surgery has several shortcomings because high risk operative group may be included in this case. Palliative placement of self-expandable metallic stent has been settled as a standard management of malignant gastric pyloric obstruction and it is expected to be applied in benign stenotic lesions due to its gradual dilation effect. We described a case of stenosis by diffuse gastric Candidasis at anastomosis of subtotal gastrectomy, which was managed by temporary placement of self-expandable metallic stent.

No MeSH data available.


Related in: MedlinePlus