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[Gastric epithelial polyps. A retrospective study 1995-2000].

AbstractOBJECTIVE:
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.
AuthorsR Macenlle García, L A Bassante Flores, J Fernández Seara
JournalRevista clinica espanola (Rev Clin Esp) Vol. 203 Issue 8 Pg. 368-72 (Aug 2003) ISSN: 0014-2565 [Print] Spain
Vernacular TitlePólipos gástricos epiteliales. Estudio retrospectivo 1995-2000.
PMID12855115 (Publication Type: English Abstract, Journal Article)
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Gastroscopy
  • Humans
  • Male
  • Middle Aged
  • Polyps (epidemiology, pathology)
  • Retrospective Studies
  • Stomach Neoplasms (epidemiology, pathology)

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