title: [A rare cause of upper gastrointestinal hemorrhage: large adenoma of Brunner's glands].
abstract: We report the rare case of a large adenoma of Brunner's glands as the cause of an upper gastrointestinal hemorrhage. Endoscopic resection is the therapy of choice in the appropriate setting. An unequivocal histological diagnosis by forceps biopsy often is not possible; there are no clear cut endoscopic criteria. The development of complications especially of severe hemorrhage increases with diameter of the adenoma. Therefore, the complete excision either endoscopically or by surgery should be attempted.
authors.affiliation: Frechen, Innere Abteilung, Evangelisches Krankenhaus Kalk, Köln.
authors.forename: M
authors.initials: M
authors.lastname: Hardt
authors.forename: W
authors.initials: W
authors.lastname: Kruis
authors.forename: S
authors.initials: S
authors.lastname: Eidt
mesh_terms: D018256:Adenomatous Polyps / Q000150:complications* / Q000473:pathology / Q000601:surgery; D002011:Brunner Glands / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D004379:Duodenal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D008297:Male; D008875:Middle Aged
vernacular_title: Seltene Ursache einer oberen gastrointestinalen Blutung: Grosses Adenom der Brunner'schen Drüsen.