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- W2895882776 abstract "Abstract Benign disorders of the foregut originate in the genes and the environment of the stomach, duodenum, and small intestine. Embryologic events orchestrate anatomic and cellular variations that predispose the adult foregut to obstructive and neoplastic conditions. Webs, stenosis, duplications, and a variety of ectopic cellular occurrences are uncommon and may remain asymptomatic until adulthood. Genetic mutations and environmental stressors have a relationship with hyperplasia and benign tumors. Drugs, alcohol, and smoking cause foregut inflammation and mucosal injury. For the most part, these benign foregut conditions do not need operative management, and most commonly are found on endoscopic or radiologic examination. On occasion, benign conditions are discovered at the time of surgery for other disorders of the foregut, and require an operative decision about how and why to perform an excisional biopsy. Diagnostic upper gastrointestinal endoscopy, capsule endoscopy, and widespread utilization of abdominal computed tomography (CT) uncover many of these benign conditions. Management of foregut disorders has improved with endoscopic ultrasound (EUS), which provides a diagnosis by ultrasound image–defined criteria, ultrasound-directed aspiration biopsy, and when indicated by endoscopic mucosal or submucosal resection. Congenital anomalies of the foregut may escape diagnosis in infancy. Intussusception, congenital webs, and duplications of the stomach, duodenum, and small intestine are rare in adults and typically present with vague symptoms and difficulty in diagnosis with modern as well as traditional imaging techniques." @default.
- W2895882776 created "2018-10-26" @default.
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- W2895882776 date "2019-01-01" @default.
- W2895882776 modified "2023-09-23" @default.
- W2895882776 title "Miscellaneous Benign Lesions and Conditions of the Stomach, Duodenum, and Small Intestine" @default.
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- W2895882776 doi "https://doi.org/10.1016/b978-0-323-40232-3.00066-2" @default.
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