title: [Giant adenoma of Brunner's glands].
abstract: Bleeding, obstruction and invagination are the common symptoms of large polyps in the duodenal bulb. We present 2 patients with a large ulcerated Brunner's gland adenoma. The clinical findings were acute bleeding and nonspecific upper gastrointestinal symptoms. The treatment was surgical due to a suspect histological finding in one case, a thick stalk in the other, and the fact that endoscopic polypectomy is a much higher risk procedure in the duodenum than in the colon.
authors.affiliation: Medizinische Klinik, Spital Neumünster, Zollikerberg.
authors.forename: P
authors.initials: P
authors.lastname: Meier
authors.forename: P
authors.initials: P
authors.lastname: Guyer
authors.forename: E
authors.initials: E
authors.lastname: Gemsenjäger
authors.forename: M
authors.initials: M
authors.lastname: Stäubli
mesh_terms: D000236:Adenoma / Q000473:pathology* / Q000601:surgery; D000368:Aged; D002011:Brunner Glands / Q000473:pathology*; D004379:Duodenal Neoplasms / Q000473:pathology* / Q000601:surgery; D004386:Duodenum / Q000473:pathology*; D006801:Humans; D007417:Intestinal Polyps / Q000473:pathology* / Q000601:surgery; D008297:Male
vernacular_title: Riesenadenom der Brunnerschen Drüsen.