深在性囊性胃炎诊断和治疗进展

Progress of diagnosis and treatment for gastritis cystica profunda

深在性囊性胃炎(GCP)是临床罕见的胃黏膜下病变,术前确诊困难,其发病机制尚不明确,可能与手术、慢性炎性反应、EB病毒感染、胃动力异常等因素相关。GCP临床症状无特异性,超声内镜(EUS)、EUS引导下穿刺活检(EUS-FNA/B)和CT检查对诊断GCP意义较大,病理检查仍是金标准。GCP主要通过手术切除,术式的选择遵循黏膜下肿瘤的治疗原则。文章从GCP的发病机制、诊断及治疗等方面进行综述,为GCP的诊疗提供理论依据。

Gastritis cystica profunda(GCP)is a rare submucosal lesion of the stomach,and it is difficult to diagnose before surgery.The pathogenesis of GCP is still unclear,and may be related to surgery,chronic inflammation,EBV infection,and abnormal gastric motility,etc.The clinical symptoms of GCP are not specific,and the significance of ultrasound endoscopy(EUS),EUS guided perforation biopsy(EUS-FNA/B)and CT examination is greater in the diagnosis of GCP,but the pathology is still the gold standard.GCP is primarily treated through surgical resection,with the choice of procedure following the principles for treating submucosal tumors.In this paper,we will describe the pathogenesis,diagnosis,and treatment of GCP to provide a theoretical basis for the diagnosis and treatment of GCP.