Endoscopic removal of a brunneroma with EUS guidance

Southern Medical Journal
Jay P BabichDavid M Friedel


Brunner glands are compound tubular submucosal glands typically found in the duodenal bulb. The most common benign tumors of the small intestine are adenoma, and 25% of these occur in the duodenum. Among the benign tumors of the duodenum, 30-50% arise from the Brunner glands. Most of the literature describes their presentations as ranging from benign, nonspecific, epigastric discomfort to obstruction and intestinal bleeding. A good percentage of them are surgically resected; however, there has been an advancement to remove them endoscopically. We present one of the first cases of an endoscopic ultrasound (EUS) approach to the diagnosis and therapeutic removal of a brunneroma.


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Apr 13, 2006·World Journal of Gastroenterology : WJG·Alba RoccoGerardo Nardone
Aug 24, 2006·Digestive Diseases and Sciences·Yang-Yuan ChenHsu-Heng Yen

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