Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case report
<p>Abstract</p> <p>Background</p> <p>Hyperplastic polyps are the most common polypoid lesions of the stomach. Rarely, they cause gastric outlet obstruction by prolapsing through the pyloric channel, when they arise in the prepyloric antrum.</p> <p>Case prese...
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| Format: | Article |
| Language: | English |
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BMC
2003-06-01
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| Series: | BMC Gastroenterology |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-230X/3/16 |
| _version_ | 1818085265308123136 |
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| author | Kurtkaya-Yapicier Ozlem Sen-Oran Ebru Gencosmanoglu Rasim Tozun Nurdan |
| author_facet | Kurtkaya-Yapicier Ozlem Sen-Oran Ebru Gencosmanoglu Rasim Tozun Nurdan |
| author_sort | Kurtkaya-Yapicier Ozlem |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Hyperplastic polyps are the most common polypoid lesions of the stomach. Rarely, they cause gastric outlet obstruction by prolapsing through the pyloric channel, when they arise in the prepyloric antrum.</p> <p>Case presentation</p> <p>A 62-year-old woman presented with intermittent nausea and vomiting of 4 months duration. Upper gastrointestinal endoscopy revealed a 30 mm prepyloric sessile polyp causing intermittent gastric outlet obstruction. Following submucosal injection of diluted adrenaline solution, the polyp was removed with a snare. Multiple biopsies were taken from the greater curvature of the antrum and the corpus. Rapid urease test for <it>Helicobacter pylori </it>yielded a negative result. Histopathologic examination showed a hyperplastic polyp without any evidence of malignancy. Biopsies of the antrum and the corpus revealed gastritis with neither atrophic changes nor <it>Helicobacter pylori </it>infection. Follow-up endoscopy after a 12-week course of proton pomp inhibitor therapy showed a complete healing without any remnant tissue at the polypectomy site. The patient has been symptom-free during 8 months of follow-up.</p> <p>Conclusions</p> <p>Symptomatic gastric polyps should be removed preferentially when they are detected at the initial diagnostic endoscopy. Polypectomy not only provides tissue to determine the exact histopathologic type of the polyp, but also achieves radical treatment.</p> |
| first_indexed | 2024-12-10T20:07:02Z |
| format | Article |
| id | doaj.art-114c1fb950224e619620eca706924561 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-10T20:07:02Z |
| publishDate | 2003-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-114c1fb950224e619620eca7069245612022-12-22T01:35:22ZengBMCBMC Gastroenterology1471-230X2003-06-01311610.1186/1471-230X-3-16Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case reportKurtkaya-Yapicier OzlemSen-Oran EbruGencosmanoglu RasimTozun Nurdan<p>Abstract</p> <p>Background</p> <p>Hyperplastic polyps are the most common polypoid lesions of the stomach. Rarely, they cause gastric outlet obstruction by prolapsing through the pyloric channel, when they arise in the prepyloric antrum.</p> <p>Case presentation</p> <p>A 62-year-old woman presented with intermittent nausea and vomiting of 4 months duration. Upper gastrointestinal endoscopy revealed a 30 mm prepyloric sessile polyp causing intermittent gastric outlet obstruction. Following submucosal injection of diluted adrenaline solution, the polyp was removed with a snare. Multiple biopsies were taken from the greater curvature of the antrum and the corpus. Rapid urease test for <it>Helicobacter pylori </it>yielded a negative result. Histopathologic examination showed a hyperplastic polyp without any evidence of malignancy. Biopsies of the antrum and the corpus revealed gastritis with neither atrophic changes nor <it>Helicobacter pylori </it>infection. Follow-up endoscopy after a 12-week course of proton pomp inhibitor therapy showed a complete healing without any remnant tissue at the polypectomy site. The patient has been symptom-free during 8 months of follow-up.</p> <p>Conclusions</p> <p>Symptomatic gastric polyps should be removed preferentially when they are detected at the initial diagnostic endoscopy. Polypectomy not only provides tissue to determine the exact histopathologic type of the polyp, but also achieves radical treatment.</p>http://www.biomedcentral.com/1471-230X/3/16gastric outlet obstructionpyloric channelhyperplastic polyppolypectomy. |
| spellingShingle | Kurtkaya-Yapicier Ozlem Sen-Oran Ebru Gencosmanoglu Rasim Tozun Nurdan Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case report BMC Gastroenterology gastric outlet obstruction pyloric channel hyperplastic polyp polypectomy. |
| title | Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case report |
| title_full | Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case report |
| title_fullStr | Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case report |
| title_full_unstemmed | Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case report |
| title_short | Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case report |
| title_sort | antral hyperplastic polyp causing intermittent gastric outlet obstruction case report |
| topic | gastric outlet obstruction pyloric channel hyperplastic polyp polypectomy. |
| url | http://www.biomedcentral.com/1471-230X/3/16 |
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