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Menetrier’s Disease

Menetrier’s Disease


MENETRIER’S DISEASE

  • Menetrier’s disease is an unusual condition characterised by hypertrophy of the gastric mucosal folds, mucus production & hypochohydria.
  • It is a premalignant condition.
  • The mucosal folds inMenetrier’s disease are often most prominent in the body and fundus.

Etiology-

  • Caused by excessive secretion of TGF α.

Clinical features-

  • Hypoproteinaemia
  • Anaemia
  • Increased risk of gastric adenocarcinoma associated with protein losing enteropathy.
  • May get confused with Zollinger- Ellison syndrome.
  • gastropathy accompanied by hypoalbuminemia and edema
Investigations-
Large gastric folds are readily detectable by either radiographic (barium meal) or endoscopic methods

A nondiagnostic biopsy may lead to a surgically obtained full-thickness biopsy to exclude malignancy.


Treatment-

  • Gastrectomy.
  • Medical therapy vith anticholinergic agents, prostgglandins, PPIs, prednkone, and H, receptor nntagonists

Exam Important

  • Menetrier’s disease is an unusual condition characterised by hypertrophy of the gastric mucosal folds, mucus production & hypochohydria.

Etiology-

  • Caused by excessive secretion of TGF α.
Clinical Features-
  • Increased risk of gastric adenocarcinoma associated with protein losing enteropathy.
  • May get confused with Zollinger- Ellison syndrome.
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