PMC7355377_01
Preoperative upper endoscopy.
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Upper endoscopy revealed large rugal folds in the body and fundus of the stomach and reddish mucosal stimulations in the antrum (figure 1). Laboratory investigations showed hypoalbuminemia (total protein: 5.6 g/dl, albumin: 2.6 g/dl) and a low serum iron level and hematocrit (iron 12 mug/dl, hct:33.1 %) (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, Fig. 8, Fig. 9).
The endoscopic ultrasound shows the severe mucosal thickness.
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An endoscopic ultrasound (EUS) confirmed the severe thickness-hypertrophy of the mucosal, especially in the region of the fundus and body (8.5 mm in the fundus, 2 cm in the body) with normal imaging of the submucosal and muscle tissue in the same parts of the stomach(figures 2-4).
Endoscopic ultrasound from the distal body of the stomach.
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An endoscopic ultrasound (EUS) confirmed the severe thickness-hypertrophy of the mucosal, especially in the region of the fundus and body (8.5 mm in the fundus, 2 cm in the body) with normal imaging of the submucosal and muscle tissue in the same parts of the stomach(figures 2-4). Laboratory investigations showed hypoalbuminemia (total protein: 5.6 g/dl, albumin: 2.6 g/dl) and a low serum iron level and hematocrit (iron 12 mug/dl, hct:33.1 %) (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, Fig. 8, Fig. 9).
Endoscopic ultrasound from the fundus of the stomach.
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An endoscopic ultrasound (EUS) confirmed the severe thickness-hypertrophy of the mucosal, especially in the region of the fundus and body (8.5 mm in the fundus, 2 cm in the body) with normal imaging of the submucosal and muscle tissue in the same parts of the stomach(figures 2-4).
Specimen of the gastrectomy.
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Laboratory investigations showed hypoalbuminemia (total protein: 5.6 g/dl, albumin: 2.6 g/dl) and a low serum iron level and hematocrit (iron 12 mug/dl, hct:33.1 %) (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, Fig. 8, Fig. 9).
Tortuous and dilated hyperplastic gastric pits (magnif. x4).
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Laboratory investigations showed hypoalbuminemia (total protein: 5.6 g/dl, albumin: 2.6 g/dl) and a low serum iron level and hematocrit (iron 12 mug/dl, hct:33.1 %) (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, Fig. 8, Fig. 9).
Significant edema and chronic inflammatory infiltration of the lamina propria (magnif. x10).
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Laboratory investigations showed hypoalbuminemia (total protein: 5.6 g/dl, albumin: 2.6 g/dl) and a low serum iron level and hematocrit (iron 12 mug/dl, hct:33.1 %) (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, Fig. 8, Fig. 9).