CAMERON LESIONS: LITERATURE REVIEW AND CASE PRESENTATION

Cameron syndrome is the ulcerative or erosive lesions of mucosal layer at the sac of hiatal hernia which can cause chronic occult or overt bleeding and iron-deficiency anemia. Hiatal hernia is a relatively frequent finding, which is in most cases asymptomatic or manifested by dyspeptic symptoms of v...

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Main Authors: V. V. Vasilenko (Author), D. L. Vinogradov (Author), M. S. Khamidulina (Author)
Format: Book
Published: SINAPS LLC, 2016-12-01T00:00:00Z.
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100 1 0 |a V. V. Vasilenko  |e author 
700 1 0 |a D. L. Vinogradov  |e author 
700 1 0 |a M. S. Khamidulina  |e author 
245 0 0 |a CAMERON LESIONS: LITERATURE REVIEW AND CASE PRESENTATION 
260 |b SINAPS LLC,   |c 2016-12-01T00:00:00Z. 
500 |a 2226-6704 
500 |a 2411-6564 
500 |a 10.20514/2226-6704-2016-6-6-72-78 
520 |a Cameron syndrome is the ulcerative or erosive lesions of mucosal layer at the sac of hiatal hernia which can cause chronic occult or overt bleeding and iron-deficiency anemia. Hiatal hernia is a relatively frequent finding, which is in most cases asymptomatic or manifested by dyspeptic symptoms of varying severity. Despite of being a very important association of hiatal hernia Cameron syndrome is not widely represented in medical literature. That`s the reason of a lack of awareness among physicians, surgeons and endoscopists about that pathology. Cameron lesions are significant pathology because they can become a source of chronic occult as well as an acute life-threatening bleeding. Those lesions of upper gastrointestinal tract are often misinterpreted or overlooked during standard diagnostic procedures. It can lead to the misdiagnosis and false ways of treatment. The review focuses on the pathogenesis, main diagnostic problems and treatment options of that pathology. The diagnostics of the Cameron syndrome is difficult because sometimes the lesions can`t be seen on upper gastrointestinal tract endoscopy. The review describes the criteria by which the physician may suspect Cameron syndrome when endoscopy results are not certain. Clinical case represents an important problem which is often faced by the doctors - the severe iron-deficiency anemia refractory to the medication and blood transfusions in the patients with Cameron lesions. It`s very important for doctor to be aware of that complication to include Cameron syndrome into the diagnostic search for the sources of persistent blood loss. Cameron lesions can be asymptomatic as well as be manifested in the form of severe chronic anemia. And that`s the reason why there are an important issue about the proper treatment which have to be provided in each case. The review describes the effectiveness of different treatment options and makes the conclusion about the principles on which doctor can rely in giving favor to a conservative or surgical treatment. 
546 |a RU 
690 |a cameron lesions 
690 |a hiatal hernia 
690 |a upper gastrointestinal tract bleeding 
690 |a transfusion-dependent anemia 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n Архивъ внутренней медицины, Vol 6, Iss 6, Pp 72-78 (2016) 
787 0 |n https://www.medarhive.ru/jour/article/view/604 
787 0 |n https://doaj.org/toc/2226-6704 
787 0 |n https://doaj.org/toc/2411-6564 
856 4 1 |u https://doaj.org/article/0de1d23ec6604ca8b84cc3f5786afa8f  |z Connect to this object online.