Diffuse benign inflammatory gastric polyps: A rare case in a young female: Case report and review of the literature

BackgroundGastric polyps are one of the most common clinical diseases arising from the mucosal surface of the stomach. The benign nature of the gastric polyp and its absence of symptoms have been widely accepted. Diffuse benign inflammatory polyps spanning the entire gastric mucosa are relatively ra...

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Main Authors: ZongYao Zhang, ZhengChang Guo, JiaJia Zhang, Xin Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.1090622/full
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author ZongYao Zhang
ZhengChang Guo
JiaJia Zhang
Xin Yu
author_facet ZongYao Zhang
ZhengChang Guo
JiaJia Zhang
Xin Yu
author_sort ZongYao Zhang
collection DOAJ
description BackgroundGastric polyps are one of the most common clinical diseases arising from the mucosal surface of the stomach. The benign nature of the gastric polyp and its absence of symptoms have been widely accepted. Diffuse benign inflammatory polyps spanning the entire gastric mucosa are relatively rare in young people.Case presentationOur objective was to report a 20-year-old woman who presented with epigastric pain and vomiting; upper gastrointestinal barium contrast roentgenography demonstrated a huge defect in the filling of the stomach. Upper endoscopy also showed the presence of dense inflammatory polyps in the stomach that were the cause of the severe pylorus obstruction. The diffuse benign gastric polyps were diagnosed as inflammatory gastric polyps on the basis of findings on the histopathological examination. She was delivered as a result of the operating procedure of total gastrectomy and Roux-en-Y anastomosis of the esophagus and jejunum. Postoperative nutritional support therapy was also implemented. Postoperative pathological examination revealed inflammatory papillary and villous polyps distributed over the stomach, and eosinophilic infiltration was found in the local area of the polyp. Polyps move like tufts of coral. During the 16-month follow-up, patients with symptoms of malnutrition and anemia recovered.ConclusionNutritional support and a total gastrectomy were used to improve this patient's symptoms of malnutrition and anemia. Surgical intervention with appropriate nutritional support should be actively performed in these patients while strengthening the differential diagnosis of hereditary disease.
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spelling doaj.art-32e792ac4d0c42d8b3865faeb57331892023-01-05T10:44:51ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10906221090622Diffuse benign inflammatory gastric polyps: A rare case in a young female: Case report and review of the literatureZongYao Zhang0ZhengChang Guo1JiaJia Zhang2Xin Yu3Department of General Surgery, The First Affiliated Hospital of Anhui University of Science and Technology, Huainan, ChinaDepartment of General Surgery, Zhenjiang First People's Hospital, Zhenjiang, ChinaDepartment of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, ChinaDepartment of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, ChinaBackgroundGastric polyps are one of the most common clinical diseases arising from the mucosal surface of the stomach. The benign nature of the gastric polyp and its absence of symptoms have been widely accepted. Diffuse benign inflammatory polyps spanning the entire gastric mucosa are relatively rare in young people.Case presentationOur objective was to report a 20-year-old woman who presented with epigastric pain and vomiting; upper gastrointestinal barium contrast roentgenography demonstrated a huge defect in the filling of the stomach. Upper endoscopy also showed the presence of dense inflammatory polyps in the stomach that were the cause of the severe pylorus obstruction. The diffuse benign gastric polyps were diagnosed as inflammatory gastric polyps on the basis of findings on the histopathological examination. She was delivered as a result of the operating procedure of total gastrectomy and Roux-en-Y anastomosis of the esophagus and jejunum. Postoperative nutritional support therapy was also implemented. Postoperative pathological examination revealed inflammatory papillary and villous polyps distributed over the stomach, and eosinophilic infiltration was found in the local area of the polyp. Polyps move like tufts of coral. During the 16-month follow-up, patients with symptoms of malnutrition and anemia recovered.ConclusionNutritional support and a total gastrectomy were used to improve this patient's symptoms of malnutrition and anemia. Surgical intervention with appropriate nutritional support should be actively performed in these patients while strengthening the differential diagnosis of hereditary disease.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1090622/fulldiffuse gastric polypsinflammatory polypscase reportsurgical interventiondiagnosis
spellingShingle ZongYao Zhang
ZhengChang Guo
JiaJia Zhang
Xin Yu
Diffuse benign inflammatory gastric polyps: A rare case in a young female: Case report and review of the literature
Frontiers in Surgery
diffuse gastric polyps
inflammatory polyps
case report
surgical intervention
diagnosis
title Diffuse benign inflammatory gastric polyps: A rare case in a young female: Case report and review of the literature
title_full Diffuse benign inflammatory gastric polyps: A rare case in a young female: Case report and review of the literature
title_fullStr Diffuse benign inflammatory gastric polyps: A rare case in a young female: Case report and review of the literature
title_full_unstemmed Diffuse benign inflammatory gastric polyps: A rare case in a young female: Case report and review of the literature
title_short Diffuse benign inflammatory gastric polyps: A rare case in a young female: Case report and review of the literature
title_sort diffuse benign inflammatory gastric polyps a rare case in a young female case report and review of the literature
topic diffuse gastric polyps
inflammatory polyps
case report
surgical intervention
diagnosis
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.1090622/full
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AT jiajiazhang diffusebenigninflammatorygastricpolypsararecaseinayoungfemalecasereportandreviewoftheliterature
AT xinyu diffusebenigninflammatorygastricpolypsararecaseinayoungfemalecasereportandreviewoftheliterature