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Chinese Journal of Digestion and Medical Imageology(Electronic Edition) ›› 2025, Vol. 15 ›› Issue (06): 676-680. doi: 10.3877/cma.j.issn.2095-2015.2025.06.020

• Clinical Case Analysis • Previous Articles    

Endoscopic submucosal dissection for IgG4-related gastric disease presenting with submucosal elevation: a case report

Jing Dai1, Min Lin1, Yingchun Hu2,()   

  1. 1Department of Gastroenterology, Third Affiliated Hospital of Nanjing Medical University, Changzhou 213000, China
    2Endoscopy Center, Benniu People's Hospital of Xinbei District of Changzhou, Changzhou 213000, China
  • Received:2025-08-19 Online:2025-12-01 Published:2025-12-25
  • Contact: Yingchun Hu

Abstract:

Immunoglobulin G4 (IgG4)-related disease is a rare, systemic autoimmune disorder that can affect multiple organs. Gastric involvement is uncommon and often presents with non-specific clinical and radiological features, posing a diagnostic challenge and frequently leading to misdiagnosis as gastric neoplasms or lymphoma. In this report, we present a case of IgG4-related gastric disease diagnosed and managed with endoscopic submucosal dissection, resulting in complete lesion resection.

Key words: IgG4-related disease, IgG4-related gastric disease, Autoimmune disease, Endoscopic submucosal dissection

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