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Hypertrophic Gastric folds with Hypomagnesemia, linking the dots
A Caucasian man in early 80s was seen in Gastroenterology Clinic, following, referral from the Endocrinology Clinic for concerns for CT Abdomen requested for tiredness and weight loss of three kilograms. The patient also had microcytic picture with low MCV and Ferritin and hypomagnesemia. The CT sug...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Professional Medical Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281174/ https://www.ncbi.nlm.nih.gov/pubmed/34290814 http://dx.doi.org/10.12669/pjms.37.4.3984 |
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author | Zafar, Mansoor Muhammad, Tila Saher, Najam us Toqeer, Muhammad |
author_facet | Zafar, Mansoor Muhammad, Tila Saher, Najam us Toqeer, Muhammad |
author_sort | Zafar, Mansoor |
collection | PubMed |
description | A Caucasian man in early 80s was seen in Gastroenterology Clinic, following, referral from the Endocrinology Clinic for concerns for CT Abdomen requested for tiredness and weight loss of three kilograms. The patient also had microcytic picture with low MCV and Ferritin and hypomagnesemia. The CT suggested gross circumferential thickening of the wall of stomach with advice for invasive investigations to further characterise the CT findings. The Endoscopy suggested grossly enlarged rugae in the stomach, and enlarged gastric polyps. Patient was assured no new sinister abnormality. Treatment challenges to consider were to stop acid suppression by prescribing Proton Pump Inhibitors (PPIs) which would lead to stomach ulcers, or to continue with PPIs with sequalae of worsening of hypertrophic gastric folds, enlarged gastric polyps and hypomagnesemia. It would be necessary to consider risk versus benefits in either situation to determine an appropriate treatment plan in the long term. With background of Zollinger-Ellison Syndrome and MEN1 with heterozygous mutation with gastrinoma of the duodenum, and frailty he was advised to continue with Proton Pump Inhibitors with twice weekly correction of Magnesium infusions, and Iron tablets following Multi-disciplinary meeting. |
format | Online Article Text |
id | pubmed-8281174 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Professional Medical Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-82811742021-07-20 Hypertrophic Gastric folds with Hypomagnesemia, linking the dots Zafar, Mansoor Muhammad, Tila Saher, Najam us Toqeer, Muhammad Pak J Med Sci Case Report A Caucasian man in early 80s was seen in Gastroenterology Clinic, following, referral from the Endocrinology Clinic for concerns for CT Abdomen requested for tiredness and weight loss of three kilograms. The patient also had microcytic picture with low MCV and Ferritin and hypomagnesemia. The CT suggested gross circumferential thickening of the wall of stomach with advice for invasive investigations to further characterise the CT findings. The Endoscopy suggested grossly enlarged rugae in the stomach, and enlarged gastric polyps. Patient was assured no new sinister abnormality. Treatment challenges to consider were to stop acid suppression by prescribing Proton Pump Inhibitors (PPIs) which would lead to stomach ulcers, or to continue with PPIs with sequalae of worsening of hypertrophic gastric folds, enlarged gastric polyps and hypomagnesemia. It would be necessary to consider risk versus benefits in either situation to determine an appropriate treatment plan in the long term. With background of Zollinger-Ellison Syndrome and MEN1 with heterozygous mutation with gastrinoma of the duodenum, and frailty he was advised to continue with Proton Pump Inhibitors with twice weekly correction of Magnesium infusions, and Iron tablets following Multi-disciplinary meeting. Professional Medical Publications 2021 /pmc/articles/PMC8281174/ /pubmed/34290814 http://dx.doi.org/10.12669/pjms.37.4.3984 Text en Copyright: © Pakistan Journal of Medical Sciences https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0 (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Zafar, Mansoor Muhammad, Tila Saher, Najam us Toqeer, Muhammad Hypertrophic Gastric folds with Hypomagnesemia, linking the dots |
title | Hypertrophic Gastric folds with Hypomagnesemia, linking the dots |
title_full | Hypertrophic Gastric folds with Hypomagnesemia, linking the dots |
title_fullStr | Hypertrophic Gastric folds with Hypomagnesemia, linking the dots |
title_full_unstemmed | Hypertrophic Gastric folds with Hypomagnesemia, linking the dots |
title_short | Hypertrophic Gastric folds with Hypomagnesemia, linking the dots |
title_sort | hypertrophic gastric folds with hypomagnesemia, linking the dots |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281174/ https://www.ncbi.nlm.nih.gov/pubmed/34290814 http://dx.doi.org/10.12669/pjms.37.4.3984 |
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