| Abstract | OBJECTIVE: The analysis of the endoscopic and histological characteristics of all the gastric epithelial polyps diagnosed through endoscopy in our service during a period of 5 years, and the evaluation of the usefulness of the endoscopic monitoring after polypectomy. PATIENTS AND METHODS: Between January 1995 and January 2000 5,314 high digestive system endoscopies were carried out in the Gastroenterology Service of the Santa María Madre Hospital. Sixty-four gastric epithelial polyps were detected in 18 patients (10 men and 8 women) with a median age of 61.7 years. RESULTS: Sixty-three polyps were removed through endoscopic polypectomy, and one was biopsied because of its size (5 cm), 30 (46.87%) were hyperplastic polyps, 24 (37.5%) presented normal histological characteristics, 8 (12.5%) were adenomas and 2 (3.12%) were polypoid adenocarcinomas. 56.2% measured less than 6 mm and only 6.2% measured more than 11 mm. No patient presented simultaenous gastric adenocarcinoma. Only one complication was observed after the polypectomy, a hemorrhage that was treated successfully with local injection of adrenaline. During the follow-up no case of cancer was detected and the recurrence of the polyp was observed in 2/8 patients with adenoma. CONCLUSIONS: Gastric epithelial polyps are infrequent (0.33% gastroscopies); most of them (93.75%) measure less than 1 cm and they can be removed through endoscopy with safety. In our series, the most frequent histological type was the hyperplastic polyp (43.75%); polypoid adenocarcinoma constituted 3.12% of the cases, one of them with less than 6 mm. Endoscopic follow-up is considered absolutely essential after the polypectomy, especially in adenomatous polyps. |
| Authors | R Macenlle García, L A Bassante Flores, J Fernández Seara
(Affiliation: Servicio de Aparato Digestivo. Hospital Santa María Madre. Complejo Hospitalario de Ourense. Spain.)
|
| Journal | Revista clínica española
(Rev Clin Esp)
Vol. 203
Issue 8
Pg. 368-72
(Aug 2003)
ISSN: 0014-2565 Spain |
| Vernacular Title | Pólipos gástricos epiteliales. Estudio retrospectivo 1995-2000. |
| PMID | 12855115
(Publication Type: English Abstract, Journal Article)
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| Topics |
- Adult
- Aged
- Aged, 80 and over
- Female
- Gastroscopy
- Humans
- Male
- Middle Aged
- Polyps
(epidemiology, pathology)
- Retrospective Studies
- Stomach Neoplasms
(epidemiology, pathology)
|
