Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
胃サルコイドーシスの1例
佐久間 文岩崎 茉莉嘉島 賢福士 耕菅谷 武史中野 正和土田 幸平富永 圭一笹井 貴子中里 宜正今井 康雄平石 秀幸
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2017 年 90 巻 1 号 p. 94-95

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A 59 year old female complained of vomiting and hematemesis, was referred to our hospital for close examination of 0-IIc like lesion of the stomach.Esophago-gastro-duodenoscopy (EGD) showed a discolored IIc like lesion, 10 mm in size, at the greater curvature of the upper corpus.
The results of the biopsy demonstrated epithelioid cell granulomas in the lamina proprea, leading to the diagnosis of gastric sarcoidosis. Because the administration of proton pump inhibitor relieved her symptoms. She has been followed up regularly without steroids. Sarcoidosis is a rare systemic disease characterized by non-creating granulomas in affected organs. Involvement of gastrointestinal tract is documented in 1 % of the patients, but most frequently found in the stomach. The endoscopic finding may vary, without any specific characteristic. Because western report indicate causal relationship between gastric sarcoidosis and malignant lymphomas, surveillance of the gastric sarcoidosis will be required.

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© 2017 一般社団法人 日本消化器内視鏡学会 関東支部
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