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Barium swallow may demonstrate the lesion, but endoscopic evaluation is the acceptable first line management unless a concern for underlying malignancy. The present case report and literature review highlight the uncommon presentations and endoscopic role in large BGHs management. Internists should consider BGH in their differential, especially in patient with occult bleeding, IDA, or obstruction, which can be treated with endoscopic resection of large sized tumors by trained experts.<\/jats:p>","DOI":"10.1177\/23247096231159811","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T02:08:51Z","timestamp":1678327731000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Brunner Gland Hamartomas\u2014Uncommon Presentations and Endoscopic Management"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6333-154X","authenticated-orcid":false,"given":"Ali","family":"Khalifa","sequence":"first","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Chia","family":"Wu","sequence":"additional","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sugirdhana","family":"Velpari","sequence":"additional","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Korman","sequence":"additional","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,3,8]]},"reference":[{"key":"bibr1-23247096231159811","volume-title":"Hamartoma","author":"Ali SA","year":"2022"},{"key":"bibr2-23247096231159811","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(62)90226-X"},{"key":"bibr3-23247096231159811","first-page":"473","volume":"4","author":"Abbass R","year":"2008","journal-title":"Gastroenterol Hepatol"},{"key":"bibr4-23247096231159811","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(85)72251-1"},{"key":"bibr5-23247096231159811","first-page":"157","volume":"55","author":"Kovacevi\u0107 I","year":"2001","journal-title":"Acta Med Croatica"},{"key":"bibr6-23247096231159811","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-012-2320-3"},{"key":"bibr7-23247096231159811","first-page":"031","volume":"3","author":"Joseph M","year":"2021","journal-title":"Archiv Surg S Educ"},{"key":"bibr8-23247096231159811","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-200105000-00020"},{"key":"bibr9-23247096231159811","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(98)70228-7"},{"key":"bibr10-23247096231159811","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(99)70182-3"},{"key":"bibr11-23247096231159811","first-page":"348","volume":"6","author":"Iusco D","year":"2005","journal-title":"JOP"},{"key":"bibr12-23247096231159811","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-35849"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096231159811","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23247096231159811","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096231159811","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:03:16Z","timestamp":1777449796000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23247096231159811"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":12,"alternative-id":["10.1177\/23247096231159811"],"URL":"https:\/\/doi.org\/10.1177\/23247096231159811","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"23247096231159811"}}