학술논문
A case of Helicobacter pyloriinfection complicated with gastric cancer, gastric mucosa‐associated lymphoid tissue lymphoma, and idiopathic thrombocytopenic purpura successfully treated with laparoscopy‐assisted total gastrectomy and splenectomy
Document Type
Article
Author
Source
Asian Journal of Endoscopic Surgery; February 2011, Vol. 4 Issue: 1 p32-35, 4p
Subject
Language
ISSN
17585902; 17585910
Abstract
Helicobacter pyloriinfection plays a key role in the pathogenesis of H. pylori‐associated diseases, including gastroduodenal and non‐gastroduodenal diseases. A 71‐year‐old man was evaluated for a positive fecal occult blood test by upper gastrointestinal endoscopy, which revealed H. pyloriinfection, two adenocarcinomas and two gastric mucosa‐associated lymphoid tissue lymphomas. Hematological examination revealed low platelet‐count, elevated platelet‐associated immunoglobulin G and anti‐H. pyloriimmunoglobulin G antibodies. We diagnosed H. pyloriinfection complicated by simultaneous occurrence of gastric cancer, gastric mucosa‐associated lymphoid tissue lymphoma, and idiopathic thrombocytopenic purpura. These diseases were successfully treated with laparoscopy‐assisted total gastrectomy and splenectomy, and there was no evidence of recurrence for about 2 years. This is the first reported case of H. pyloriinfection complicated by these three diseases and cured with laparoscopic surgery.