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Gastric diverticulum and halitosis—A case for surgery?
INTRODUCTION: Gastric diverticulum is a rare and frequently asymptomatic condition. Symptoms include vague pain, fullness, dyspepsia, vomiting, hemorrhage and perforation. Occasionally, the patient can present with belching and oral fetor. PRESENTATION OF CASE: We report a 58-year-old woman with a g...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064422/ https://www.ncbi.nlm.nih.gov/pubmed/24907543 http://dx.doi.org/10.1016/j.ijscr.2014.04.029 |
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author | Muis, Marius Osaland Leitao, Kristian Havnen, Jorunn Glomsaker, Tom B. Søreide, Jon Arne |
author_facet | Muis, Marius Osaland Leitao, Kristian Havnen, Jorunn Glomsaker, Tom B. Søreide, Jon Arne |
author_sort | Muis, Marius Osaland |
collection | PubMed |
description | INTRODUCTION: Gastric diverticulum is a rare and frequently asymptomatic condition. Symptoms include vague pain, fullness, dyspepsia, vomiting, hemorrhage and perforation. Occasionally, the patient can present with belching and oral fetor. PRESENTATION OF CASE: We report a 58-year-old woman with a gastric diverticulum who was suffering from a socially disabling oral fetor. After a thorough evaluation, a laparoscopic resection of the diverticulum was offered and completed successfully. At follow-up, the oral fetor had disappeared. The patient had no complaints and regarded herself as cured. DISCUSSION: Although indications for the treatment of asymptomatic patients remain to be defined, pharmacological therapies including protein pump inhibitors and histamine receptor blockers have been employed, with limited effects in patients with miscellaneous symptoms. Surgery is required when serious complications such as hemorrhage or perforation of the diverticulum occur. CONCLUSION: Surgery is required when serious complications such as hemorrhage or perforation of the diverticulum occur. Therapy resistent social disabling oral fetor may add to the indications for surgery. |
format | Online Article Text |
id | pubmed-4064422 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-40644222014-06-23 Gastric diverticulum and halitosis—A case for surgery? Muis, Marius Osaland Leitao, Kristian Havnen, Jorunn Glomsaker, Tom B. Søreide, Jon Arne Int J Surg Case Rep Case Report INTRODUCTION: Gastric diverticulum is a rare and frequently asymptomatic condition. Symptoms include vague pain, fullness, dyspepsia, vomiting, hemorrhage and perforation. Occasionally, the patient can present with belching and oral fetor. PRESENTATION OF CASE: We report a 58-year-old woman with a gastric diverticulum who was suffering from a socially disabling oral fetor. After a thorough evaluation, a laparoscopic resection of the diverticulum was offered and completed successfully. At follow-up, the oral fetor had disappeared. The patient had no complaints and regarded herself as cured. DISCUSSION: Although indications for the treatment of asymptomatic patients remain to be defined, pharmacological therapies including protein pump inhibitors and histamine receptor blockers have been employed, with limited effects in patients with miscellaneous symptoms. Surgery is required when serious complications such as hemorrhage or perforation of the diverticulum occur. CONCLUSION: Surgery is required when serious complications such as hemorrhage or perforation of the diverticulum occur. Therapy resistent social disabling oral fetor may add to the indications for surgery. Elsevier 2014-05-09 /pmc/articles/PMC4064422/ /pubmed/24907543 http://dx.doi.org/10.1016/j.ijscr.2014.04.029 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Case Report Muis, Marius Osaland Leitao, Kristian Havnen, Jorunn Glomsaker, Tom B. Søreide, Jon Arne Gastric diverticulum and halitosis—A case for surgery? |
title | Gastric diverticulum and halitosis—A case for surgery? |
title_full | Gastric diverticulum and halitosis—A case for surgery? |
title_fullStr | Gastric diverticulum and halitosis—A case for surgery? |
title_full_unstemmed | Gastric diverticulum and halitosis—A case for surgery? |
title_short | Gastric diverticulum and halitosis—A case for surgery? |
title_sort | gastric diverticulum and halitosis—a case for surgery? |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064422/ https://www.ncbi.nlm.nih.gov/pubmed/24907543 http://dx.doi.org/10.1016/j.ijscr.2014.04.029 |
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