Ménétrier disease: A clinical review

Figure 1 Diagnostic algorithm. MD: Ménétrier disease; CMV: Cytomegalovirus; GI: Gastrointestinal; H. pylori: Helicobacter pylori.

Figure 2 Upper gastrointestinal endoscopy photographs showing marked congestive and thickened gastric folds, covered by a large amount of white exudative fluid that was partially washed and aspirated during examination[26]. A and B: These changes were found in the gastric body and fundus; C and D: Sparing the antrum. Citation: Nunes G, Barosa R, Patita M, Pinto-Marques P, Gonçalves D, Fonseca C, Alves de Matos A, Fonseca J. Ménétrier's disease: A case of successful treatment using long-acting octreotide. Acta Gastroenterol Belg 2019; 82: 429-432. Copyright© 2019, Acta Gastroenterol Belg. Published by Acta Gastro-Enterologica Belgica. The authors have obtained the permission for figure using from the Acta Gastro-Enterologica Belgica (Supplementary material).

Figure 3 Endoscopic ultrasound photographs showing gastric wall thickening (6 mm) due to mucosal expansion (3. 2 mm) with massive enlargement of gastric body great curvature folds[26]. The submucosa was preserved, and the antrum was spared. Citation: Nunes G, Barosa R, Patita M, Pinto-Marques P, Gonçalves D, Fonseca C, Alves de Matos A, Fonseca J. Ménétrier's disease: A case of successful treatment using long-acting octreotide. Acta Gastroenterol Belg 2019; 82: 429-432. Copyright© 2019, Acta Gastroenterol Belg. Published by Acta Gastro-Enterologica Belgica. The authors have obtained the permission for figure using from the Acta Gastro-Enterologica Belgica (Supplementary material).

Figure 4 Images from gastric tissue stained with hematoxylin & eosin, where signs of hypertrophic gastropathy are evident. Tortuous and dilated glands with corium edema are observed[26]. Oxyntic mucosa atrophy and foveolar hyperplasia are typical features of Ménétrier disease present in the patient's gastric mucosa. Citation: Nunes G, Barosa R, Patita M, Pinto-Marques P, Gonçalves D, Fonseca C, Alves de Matos A, Fonseca J. Ménétrier's disease: A case of successful treatment using long-acting octreotide. Acta Gastroenterol Belg 2019; 82: 429-432. Copyright© 2019, Acta Gastroenterol Belg. Published by Acta Gastro-Enterologica Belgica. The authors have obtained the permission for figure using from the Acta Gastro-Enterologica Belgica (Supplementary material).