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1.
Rev Esp Enferm Dig ; 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39087656

RESUMEN

A 72-year-old female who had received emergent endoscopic cyanoacrylate (CYA) injection for bleeding gastric varices (GV) two month before was readmitted due to recurrence of melena. Current gastroscopy verified the type-2 GV (GOV-2) according to Sarin's classification with stigmata of recent bleeding. Endoscopic ultrasound (EUS) identified the largest varix of 8.7mm in diameter, which prompted us to consider EUS-guided coiling combined with CYA injection as an alternative therapeutic strategy, considering the short interval between prior injection and rebleeding. Via trans-esophageal route, the abovementioned varix was punctured using a 19-gauge FNA needle preloaded with a 0.035-inch coil with diameter of 10mm and length of 14cm (Nester, Cook Medical, Bloomington, IN). Initially, the stylet used as a pusher was advanced smoothly and part of the coil was visualized to have been pushed out of the needle tip. However, the stylet could not be fully advanced to place the entire coil into the varix due to substantial resistance, which, regardless of the endeavor to adjust the needle, was not diminished.

2.
World J Gastroenterol ; 30(21): 2827-2828, 2024 Jun 07.
Artículo en Inglés | MEDLINE | ID: mdl-38899333

RESUMEN

The combination of endoscopic ultrasound with endoscopic treatment of type 1 gastric variceal hemorrhage may improve the robustness and generalizability of the findings in future studies. Moreover, the esophageal varices should also be included in the evaluation of treatment efficacy in subsequent studies to reach a more convincing conclusion.


Asunto(s)
Endosonografía , Várices Esofágicas y Gástricas , Hemorragia Gastrointestinal , Adhesivos Tisulares , Várices Esofágicas y Gástricas/terapia , Várices Esofágicas y Gástricas/etiología , Várices Esofágicas y Gástricas/cirugía , Várices Esofágicas y Gástricas/diagnóstico , Humanos , Ligadura/métodos , Resultado del Tratamiento , Hemorragia Gastrointestinal/etiología , Hemorragia Gastrointestinal/terapia , Hemorragia Gastrointestinal/cirugía , Adhesivos Tisulares/administración & dosificación , Endosonografía/métodos , Inyecciones , Hemostasis Endoscópica/métodos , Endoscopía Gastrointestinal/métodos
3.
Nanomaterials (Basel) ; 14(9)2024 May 05.
Artículo en Inglés | MEDLINE | ID: mdl-38727395

RESUMEN

The anomalous Hall effect and spin-orbit torque of TbCo-based multilayer films have been methodically studied in recent years. Many properties of the films can be obtained by the anomalous Hall resistance loops of the samples. We report on the effects of a structure composed of two heavy metals as the buffer layers on the anomalous Hall resistance loops of TbCo-based multilayers at different temperatures. The results showed that the coercivity increases dramatically with decreasing temperature, and the samples without perpendicular magnetic anisotropy at room temperature showed perpendicular magnetic anisotropy at low temperatures. We quantified the spin-orbit torque efficiency and Dzyaloshinskii-Moriya interaction effective field size of the films W/Pt/TbCo/Pt at room temperature by measuring the loop shift of anomalous Hall resistance. The results showed that the study of anomalous Hall resistance loops plays an important role in the study of spintronics, which can not only show the basic properties of the sample, but can also obtain other information about the sample through the shift of the loops.

4.
Natl Sci Rev ; 11(3): nwad328, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38449877

RESUMEN

The reprogramming of parental epigenomes in human early embryos remains elusive. To what extent the characteristics of parental epigenomes are conserved between humans and mice is currently unknown. Here, we mapped parental haploid epigenomes using human parthenogenetic and androgenetic embryos. Human embryos have a larger portion of genome with parentally specific epigenetic states than mouse embryos. The allelic patterns of epigenetic states for orthologous regions are not conserved between humans and mice. Nevertheless, it is conserved that maternal DNA methylation and paternal H3K27me3 are associated with the repression of two alleles in humans and mice. In addition, for DNA-methylation-dependent imprinting, we report 19 novel imprinted genes and their associated germline differentially methylated regions. Unlike in mice, H3K27me3-dependent imprinting is not observed in human early embryos. Collectively, allele-specific epigenomic reprogramming is different in humans and mice.

5.
Pathol Res Pract ; 252: 154921, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37977037

RESUMEN

PURPOSE: Breast cancer is one of the most common tumors with high malignancy and metastatic rate. DNAJA1 is closely related to tumor progress in several tumors. However, the role and mechanisms of DNAJA1 in the metastasis and proliferation of breast cancer are unknown. METHODS: Immunohistochemistry and western blot were used to detect the protein expression genes. In vivo and vitro experiments were performed to evaluate the proliferation, invasive and metastatic abilities of breast cancer cells. RESULTS: DNAJA1 was high expressed in 234 cases of breast cancer tissues and associated with metastasis, p53 expression and poor survival for patients. Knock down of DNAJA1 decreased the number of plate clone formation and the OD value of CCK8 assays in breast cancer cells. Depletion of DNAJA1 also in decreased the invasive abilities of breast cancer cells. In vivo, knock down DNAJA1 decreased the growth of subcutaneous tumor and lung metastatic nodes. Mechanically, DNAJA1 could bind with P53-R175H and reduced its degradation. Up regulation of DNAJA1 in mutant P53-R175H breast cancer cell promoted the nuclear translocation of p65, activated NF-κB pathway and enhanced the transcription of its downstream genes such as MMP9, CXCL10 et al. Blockade of NF-κB pathway effectively rescued the effects of DNAJA1 on proliferation and metastasis in breast cancer. CONCLUSION: Our study reveals that DNAJA1 is up regulated in breast cancer and promotes breast cancer cells proliferation and metastasis via P53-R175H/NF-κB pathway. It might be a potential prognosis marker for the breast cancer patients.


Asunto(s)
Neoplasias de la Mama , FN-kappa B , Humanos , Femenino , FN-kappa B/metabolismo , Proteína p53 Supresora de Tumor/genética , Proteína p53 Supresora de Tumor/metabolismo , Transducción de Señal , Neoplasias de la Mama/patología , Línea Celular Tumoral , Proliferación Celular/genética , Regulación Neoplásica de la Expresión Génica , Proteínas del Choque Térmico HSP40/genética , Proteínas del Choque Térmico HSP40/metabolismo
6.
Phys Chem Chem Phys ; 25(40): 27364-27372, 2023 Oct 18.
Artículo en Inglés | MEDLINE | ID: mdl-37791972

RESUMEN

Ni-Mn based Heusler alloys have attracted widespread attention due to their novel physical properties. However, the structure of Mn2NiGa is metastable at room temperature, making it difficult to obtain its intrinsic physical properties and limiting its application. In this study, we obtained Mn2NiGa by replacing Ni in the precursor alloy Ni2MnGa with Mn and studied its magnetic properties, structures, and phase transitions with floating composition. In addition, we focused on the compositional segregation characteristics of Mn2NiGa caused by different heat treatment and quenching conditions. It was found that the samples quenched after annealing at 773 K for 48 hours exhibited abnormalities in magnetism, phase transformation, and structure. The further electron probe scanning characterization results reveal that the changes in these physical properties were related to component segregation caused by heat treatment.

7.
Rev Esp Enferm Dig ; 2023 Aug 04.
Artículo en Inglés | MEDLINE | ID: mdl-37539542

RESUMEN

A 46-year-old man underwent endoscopic ultrasound (EUS)-guided transgastric drainage with subsequent direct endoscopic necrosectomy (DEN) for an infected walled-off pancreatic necrosis (WOPN). Following treatment, he improved clinically with resolution of fever and substantial reduction in size of the WOPN. He was discharged with indwelling plastic stents which were to be removed after complete resolution of the WOPN. Follow-up CT and EUS 1 months later showed spontaneous stents dislodgement and a residual pancreatic fluid collection (PFC) measuring 4.0×2.3cm, for which re-intervention was technically demanding due to the small size. As he was asymptomatic, a decision was made to manage him expectantly for spontaneous resolution of the residual PFC. However, against our expectation, 1 year later he presented with recurrent fever to 40.1 °C. An hepatic abscess was identified on CT scan, which also revealed the residual PFC, though it was further reduced in size. After one month of antibiotic treatment, follow-up CT revealed that the hepatic abscess had resolved. Concurrently, complete resolution of residual PFC was also observed. EUS-guided drainage/debridement is a first-line therapy for WOPN. Remnant PFC due to premature stent dislodgement may persist as an insidious source of infection in which dormant pathogens may become reactivated sometime and culminate in a flare-up. Since the venous drainage of the pancreatic region ends up in the portal vein, occurrence of the hepatic abscess in the presence of the residual PFC should be considered as causal rather than coincidental. At least we couldn't help arousing a high suspicion of their cause-and-effect relationship. Therefore, despite its being technically challenging, timely reintervention with measures such as EUS-guided needle puncture and irrigation so as to thoroughly eradicate the residual PFC burden should be advocated to reduce the likelihood of late on-set local or distant infection.

8.
J Colloid Interface Sci ; 650(Pt B): 1949-1957, 2023 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-37517194

RESUMEN

The oxygen evolution reaction (OER) is a key process in various energy storage/generation technologies. Tuning the electronic structures of catalysts is an effective approach to improve the catalyst's activity. In this work, we synthesized Ce-doped cobalt-organic frameworks with benzene-1, 4-dicarboxylic acid (BDC) as the ligand as efficient OER electrocatalysts (denoted as Co3Ce1 BDC) with excellent stability and improved catalytic performance. The introduced Ce in Co3Ce1 BDC changes the surface configuration and tunes electronic structures of the active Co site, leading to enhanced interaction between intermediates and catalysts. Besides, the specific surface area, reaction kinetics, charge transfer efficiency, and turnover frequency are also improved in the presence of Ce. As a result, the Co3Ce1 BDC demonstrated excellent performance with a low overpotential of 285 mV at a current of 10 mA·cm-2, a preferable Tafel slope of 56.1 mV·dec-1, and an excellent durability in 1 M KOH, indicating the potential for practical applications in water splitting and other energy storage technologies wherein the OER plays a critical role. Comprehensive theoretical calculations and modeling further identified the key role of Ce in modulating the electronic structure and OER activity of cobalt-organic frameworks. Most importantly, this work provides a new strategy to the development of efficient cobalt-organic framework catalysts in OER-related applications.

10.
PNAS Nexus ; 2(2): pgac310, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36743471

RESUMEN

Resveratrol is an antiaging, antioxidant, and anti-inflammatory natural polyphenolic compound. Growing evidence indicates that resveratrol has potential therapeutic effects for improving aging ovarian function. However, the mechanisms underlying prolonged reproductive longevity remain elusive. We found that resveratrol ameliorates ovarian aging transcriptome, some of which are associated with specific changes in methylome. In addition to known aging transcriptome of oocytes and granulosa cells such as decline in oxidoreductase activity, metabolism and mitochondria function, and elevated DNA damage and apoptosis, actin cytoskeleton are notably downregulated with age, and these defects are mostly rescued by resveratrol. Moreover, the aging-associated hypermethylation of actin cytoskeleton is decreased by resveratrol. In contrast, deletion of Tet2, involved in DNA demethylation, abrogates resveratrol-reprogrammed ovarian aging transcriptome. Consistently, Tet2 deficiency results in additional altered pathways as shown by increased mTOR and Wnt signaling, as well as reduced DNA repair and actin cytoskeleton with mouse age. Moreover, genes associated with oxidoreductase activity and oxidation-reduction process were hypermethylated in Tet2-deficient oocytes from middle-age mice treated with resveratrol, indicating that loss of Tet2 abolishes the antioxidant effect of resveratrol. Taking together, our finding provides a comprehensive landscape of transcriptome and epigenetic changes associated with ovarian aging that can be reprogrammed by resveratrol administration, and suggests that aberrantly increased DNA methylation by Tet2 deficiency promotes additional aging epigenome that cannot be effectively restored to younger state by resveratrol.

11.
Cell Discov ; 9(1): 13, 2023 Jan 31.
Artículo en Inglés | MEDLINE | ID: mdl-36717546

RESUMEN

Although parental genomes undergo extensive epigenetic reprogramming to be equalized after fertilization, whether they play different roles in human zygotic genome activation (ZGA) remains unknown. Here, we mapped parental transcriptomes by using human parthenogenetic (PG) and androgenetic (AG) embryos during ZGA. Our data show that human ZGA is launched at the 8-cell stage in AG and bi-parental embryos, but at the morula stage in PG embryos. In contrast, mouse ZGA occurs at the same stage in PG and AG embryos. Mechanistically, primate-specific ZNF675 with AG-specific expression plays a role in human ZGA initiated from paternal genome at the 8-cell stage. AG-specifically expressed LSM1 is also critical for human maternal RNA degradation (MRD) and ZGA. The allelic expressions of ZNF675 and LSM1 are associated with their allelically epigenetic states. Notably, the paternally specific expressions of ZNF675 and LSM1 are also observed in diploid embryos. Collectively, human ZGA is initiated from paternal genome.

12.
Phys Chem Chem Phys ; 24(40): 25010-25017, 2022 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-36217967

RESUMEN

Herein, Ni45-xCrxCo5Mn36.5In13.5 (x = 0, 0.2, 0.4, and 0.6 at%) and Ni45Co5Mn36.5-yCryIn13.5 (y = 0.2, 0.4, and 0.6 at%) polycrystalline Heusler alloys are prepared by arc melting and then characterized using X-ray diffraction and a vibrating sample magnetometer. A single L21 austenitic phase is confirmed at room temperature. Meanwhile, we studied the effect of Cr doping on the magnetic properties of Ni45Co5Mn36.5In13.5 alloys. It is observed that, with the incorporation of Cr atoms, both the lattice constant and valence electron concentration of the alloys have changed, resulting in the phase transition temperature, saturation magnetization and magnetic entropy changing significantly. In addition, when Cr is replaced by Mn, the change of phase transition temperature (ΔT) induced by the magnetic field decreases; therefore, in the Ni45Co5Mn36.1Cr0.4In13.5 samples, the magnetic entropy change reaches a maximum value of up to 37.1 J kg-1 K-1 under an external magnetic field of 3T, which is more than 50% higher than that of other Ni-Mn based Heusler alloys reported in the literature.

13.
Nat Commun ; 13(1): 3883, 2022 07 06.
Artículo en Inglés | MEDLINE | ID: mdl-35794099

RESUMEN

Epigenetic information regulates gene expression and development. However, our understanding of the evolution of epigenetic regulation on brain development in primates is limited. Here, we compared chromatin accessibility landscapes and transcriptomes during fetal prefrontal cortex (PFC) development between rhesus macaques and humans. A total of 304,761 divergent DNase I-hypersensitive sites (DHSs) are identified between rhesus macaques and humans, although many of these sites share conserved DNA sequences. Interestingly, most of the cis-elements linked to orthologous genes with dynamic expression are divergent DHSs. Orthologous genes expressed at earlier stages tend to have conserved cis-elements, whereas orthologous genes specifically expressed at later stages seldom have conserved cis-elements. These genes are enriched in synapse organization, learning and memory. Notably, DHSs in the PFC at early stages are linked to human educational attainment and cognitive performance. Collectively, the comparison of the chromatin epigenetic landscape between rhesus macaques and humans suggests a potential role for regulatory elements in the evolution of differences in cognitive ability between non-human primates and humans.


Asunto(s)
Cromatina , Epigénesis Genética , Animales , Cromatina/genética , Desoxirribonucleasa I/metabolismo , Humanos , Macaca mulatta/genética , Macaca mulatta/metabolismo , Corteza Prefrontal/metabolismo , Secuencias Reguladoras de Ácidos Nucleicos
14.
J Oncol ; 2022: 2292481, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35586205

RESUMEN

Liver cancer is one of the most common and aggressive malignancies worldwide with poor prognosis. Studies on pathogenesis of liver cancer are urgently demanded to develop better treatment strategy. Here, we found that overexpression of DnaJ heat shock protein family (Hsp40) member A1 (DNAJA1) increased cell proliferation, invasion, and angiogenesis in Huh 7 and HepG2 cells, while depletion of DNAJA1 in MHCC-97H and HCC-M3 showed opposite effects. In vivo functional assays indicated that DNAJA1 promoted tumor growth and pulmonary metastasis in mice. Mechanistically, as a direct target of miR-205-5p, DNAJA1 promoted proliferation and metastasis of liver cancer cells by stabilizing eukaryotic elongation factor 1A1 (EF1A1). Moreover, DNAJA was markedly upregulated in liver cancer tissues (P < 0.05) and was significantly associated with poor prognosis. And its expression was correlated with differentiation (P < 0.001), dissemination (P < 0.001), and serum AFP (P = 0.029). The mRNA levels of miR-205-5p and DNAJA1 were negatively correlated in liver cancer. In conclusion, our study reveals that DNAJA1 acts as an oncogene in liver cancer via miR-205-5p/EF1A1 axis and might be a potential biomarker to predict the prognosis for liver cancer patients.

15.
Nucleic Acids Res ; 50(D1): D380-D386, 2022 01 07.
Artículo en Inglés | MEDLINE | ID: mdl-34570235

RESUMEN

Single-cell bisulfite sequencing methods are widely used to assess epigenomic heterogeneity in cell states. Over the past few years, large amounts of data have been generated and facilitated deeper understanding of the epigenetic regulation of many key biological processes including early embryonic development, cell differentiation and tumor progression. It is an urgent need to build a functional resource platform with the massive amount of data. Here, we present scMethBank, the first open access and comprehensive database dedicated to the collection, integration, analysis and visualization of single-cell DNA methylation data and metadata. Current release of scMethBank includes processed single-cell bisulfite sequencing data and curated metadata of 8328 samples derived from 15 public single-cell datasets, involving two species (human and mouse), 29 cell types and two diseases. In summary, scMethBank aims to assist researchers who are interested in cell heterogeneity to explore and utilize whole genome methylation data at single-cell level by providing browse, search, visualization, download functions and user-friendly online tools. The database is accessible at: https://ngdc.cncb.ac.cn/methbank/scm/.


Asunto(s)
Metilación de ADN , Bases de Datos Genéticas , Epigénesis Genética , Genoma , Metadatos/estadística & datos numéricos , Programas Informáticos , Animales , Mapeo Cromosómico , Conjuntos de Datos como Asunto , Humanos , Internet , Ratones , Anotación de Secuencia Molecular , Análisis de la Célula Individual , Secuenciación Completa del Genoma
16.
Genomics Proteomics Bioinformatics ; 19(1): 48-63, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33610791

RESUMEN

DNA methylation is a prevalent epigenetic modification in vertebrates, and it has been shown to be involved the regulation of gene expression and embryo development. However, it remains unclear how DNA methylation regulates sexual development, especially in species without sex chromosomes. To determine this, we utilized zebrafish to investigate DNA methylation reprogramming during juvenile germ cell development and adult female-to-male sex transition. We reveal that primordial germ cells (PGCs) undergo significant DNA methylation reprogramming during germ cell development, and the methylome of PGCs is reset to an oocyte/ovary-like pattern at 9 days post fertilization (9 dpf). When DNA methyltransferase (DNMT) activity in juveniles was blocked after 9 dpf, the zebrafish developed into females. We also show that Tet3 is involved in PGC development. Notably, we find that DNA methylome reprogramming during adult zebrafish sex transition is similar to the reprogramming during the sex differentiation from 9 dpf PGCs to sperm. Furthermore, inhibiting DNMT activity can prevent the female-to-male sex transition, suggesting that methylation reprogramming is required for zebrafish sex transition. In summary, DNA methylation plays important roles in zebrafish germ cell development and sexual plasticity.


Asunto(s)
Metilación de ADN , Pez Cebra , Animales , Epigénesis Genética , Femenino , Expresión Génica , Células Germinativas , Masculino , Pez Cebra/genética
17.
BMC Gastroenterol ; 20(1): 323, 2020 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-33008291

RESUMEN

BACKGROUND: Foreign body ingestion is a common clinical problem. The upper esophagus is the most common site of foreign body, accounting for more than 75% of all cases, but cases with a foreign body in the duodenal papilla or common bile duct are rarely reported. CASE PRESENTATION: Herein, we report a rare case that a patient's abdominal pain resembling gastric ulcer was caused by a 3 cm long fishbone inserted into the duodenal papilla. CONCLUSION: Fishbone inserted into the duodenal papilla can cause an abdominal pain resembling gastric ulcer. Endoscopy is useful for the diagnosis and treatment of fishbone ingestion in clinical.


Asunto(s)
Cuerpos Extraños , Úlcera Gástrica , Dolor Abdominal/etiología , Duodeno/diagnóstico por imagen , Ingestión de Alimentos , Cuerpos Extraños/diagnóstico , Cuerpos Extraños/diagnóstico por imagen , Humanos , Úlcera Gástrica/etiología
18.
RSC Adv ; 10(21): 12255-12261, 2020 Mar 24.
Artículo en Inglés | MEDLINE | ID: mdl-35497628

RESUMEN

To enhance our understanding of the influence of quaternary ammonium salts on CH4 hydrate formation, the chosen anti-agglomerant lauroylamide propylbetaine (LPB) was tested in an oil-water system in this work and analyzed by Raman spectroscopy, PXRD, and SEM. The results showed that LPB promoted CH4 hydrate formation by reducing the induction time and increasing the CH4 consumption rate for hydrate growth. The promotion effect on the CH4 hydrate growth was the best when the LPB concentration reached 0.18 wt%. Raman and PXRD analyses of the hydrate samples showed that the ratio of the CH4 molecules in large and small cages was below 3 and the (222) plane of the CH4 hydrate formed from an LPB solution was obviously lower compared to that for a typical CH4 hydrate. It was suggested that the positions of the water molecules in the host water lattice changed. The LPB molecules were thought to modify the surface structure of the hydrate phase, where the methyl head groups of LPB were allowed to penetrate both the 51262 and 512 cages of the CH4 hydrate. The modifications on the hydrate surface were further revealed by SEM images. The porous surface of the formed solids turned into curved sheets when LPB was added. Therefore, the mechanical properties of the bulk solid phase were assumed to be weakened.

19.
J Phys Chem B ; 123(43): 9180-9186, 2019 10 31.
Artículo en Inglés | MEDLINE | ID: mdl-31609605

RESUMEN

Crystal growth of N2 hydrate in a three-phase system consisting of N2 hydrate, liquid water, and gaseous N2 was performed by molecular dynamics simulation at 260 K. Pressure influence on hydrate growth was evaluated. The kinetic properties including the growth rates and cage occupancies of the newly formed hydrate and the diffusion coefficient and concentration of N2 molecules in liquid phase were measured. The results showed that the growth of N2 hydrate could be divided into two stages where N2 molecules in gas phase had to dissolve in liquid phase and then form hydrate cages at the liquid-hydrate interface. The diffusion coefficient and concentration of N2 in liquid phase increased linearly with increasing pressure. As the pressure rose from 50 to 100 MPa, the hydrate growth rate kept increasing from 0.11 to 0.62 cages·ns-1·Å-2 and then dropped down to around 0.40 cages·ns-1·Å-2 once the pressure surpassed 100 MPa. During the hydrate formation, the initial sII N2 hydrate phase set in the system served as a template for the subsequent growth of N2 hydrate so that no new crystal structure was found. Analysis on the cage occupancies revealed that the amount of cages occupied by two N2 molecules increased evidently when the pressure was above 100 MPa, which slowed down the growth rate of hydrate cages. Additionally, a small fraction of defective cages including two N2 molecules trapped in 51265 cages and three N2 molecules trapped 51268 cages was observed during the hydrate growth.

20.
BMC Gastroenterol ; 19(1): 151, 2019 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-31443637

RESUMEN

BACKGROUND: With the development and application of endoscopic technology, most pedunculated polyps can be absolutely resected with a complete specimen by hot snare polypectomy (HSP). Brunner's gland hamartoma (BGH) is a rare benign small bowel tumor. The majority of BGH measuring about 2 cm in diameter, rarely larger than 5 cm. Most patients are asymptomatic, some may present with gastrointestinal hemorrhage or intestinal obstruction. Symptomatic larger lesions leading to bleeding or obstruction should be excised either endoscopically or surgically. Whether it is safe and effective that removing a BGH measuring about 7 cm by HSP is not known. CASE PRESENTATION: Here, we reported a rare case of a proximal duodenum pedunculated mass measuring about 7 cm which was responsible for the patient's severe anemia. we treated it as a pedunculated polyp. After being pretreated the stalk with an endoloop which was placed around the base of the mass to prevent post-polypectomy bleeding (PPB), the pedunculated BGH was removed by HSP completely. The stalk of the mass was negative. We achieved a curative resection. CONCLUSION: It is a safe and effective for our patient to treat the pedunculated BGH measuring about 7 cm as a pedunculated polyp and remove it by HSP. And future prospective studies in larger cohorts are needed to confirm it.


Asunto(s)
Glándulas Duodenales/patología , Enfermedades Duodenales , Endoscopía/métodos , Hamartoma , Pólipos Intestinales , Disección/métodos , Enfermedades Duodenales/patología , Enfermedades Duodenales/fisiopatología , Enfermedades Duodenales/cirugía , Femenino , Hamartoma/patología , Hamartoma/fisiopatología , Hamartoma/cirugía , Humanos , Pólipos Intestinales/patología , Pólipos Intestinales/fisiopatología , Pólipos Intestinales/cirugía , Persona de Mediana Edad , Resultado del Tratamiento , Carga Tumoral
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