Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal Dissection
Gastric subepithelial tumors (SETs) are usually asymptomatic and are often detected incidentally during screening endoscopy. A gastric inverted hyperplastic polyp (IHP) is characterized by downward growth of hyperplastic mucosa into the submucosal layer. Owing to these characteristics, a gastric IHP...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Yong Chan Lee
2023-03-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| Subjects: | |
| Online Access: | http://helicojournal.org/upload/pdf/kjhugr-2022-0059.pdf |
| _version_ | 1797868762005766144 |
|---|---|
| author | Jee Won Boo Joon Sung Kim Byung-Wook Kim |
| author_facet | Jee Won Boo Joon Sung Kim Byung-Wook Kim |
| author_sort | Jee Won Boo |
| collection | DOAJ |
| description | Gastric subepithelial tumors (SETs) are usually asymptomatic and are often detected incidentally during screening endoscopy. A gastric inverted hyperplastic polyp (IHP) is characterized by downward growth of hyperplastic mucosa into the submucosal layer. Owing to these characteristics, a gastric IHP is frequently misdiagnosed as a SET. Gastric IHPs are asymptomatic in most cases and are discovered incidentally. Notably, IHPs may be accompanied by an adenocarcinoma or anemia owing to chronic bleeding associated with this lesion; therefore, endoscopic submucosal dissection is recommended for complete excision of IHPs measuring > 2 cm. We report a case of gastric IHP that was diagnosed during screening endoscopy in an asymptomatic patient. We observed a whitish purulent exudate expressed from the SET, and endoscopic ultrasonography revealed a SET originating from the muscularis mucosa. Endoscopic submucosal dissection was performed to remove the SET, and final histopathological findings revealed a gastric IHP. This case report highlights that IHPs should be suspected in patients with a SET associated with whitish exudates. |
| first_indexed | 2024-04-10T00:02:06Z |
| format | Article |
| id | doaj.art-418a648428ee40f4bdbccac8797178f4 |
| institution | Directory Open Access Journal |
| issn | 1738-3331 |
| language | English |
| last_indexed | 2024-04-10T00:02:06Z |
| publishDate | 2023-03-01 |
| publisher | Yong Chan Lee |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj.art-418a648428ee40f4bdbccac8797178f42023-03-17T01:44:56ZengYong Chan LeeThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312023-03-01231636710.7704/kjhugr.2022.0059759Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal DissectionJee Won Boo0Joon Sung Kim1Byung-Wook KimDivision of Gastroenterology, Department of Internal Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDivision of Gastroenterology, Department of Internal Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaGastric subepithelial tumors (SETs) are usually asymptomatic and are often detected incidentally during screening endoscopy. A gastric inverted hyperplastic polyp (IHP) is characterized by downward growth of hyperplastic mucosa into the submucosal layer. Owing to these characteristics, a gastric IHP is frequently misdiagnosed as a SET. Gastric IHPs are asymptomatic in most cases and are discovered incidentally. Notably, IHPs may be accompanied by an adenocarcinoma or anemia owing to chronic bleeding associated with this lesion; therefore, endoscopic submucosal dissection is recommended for complete excision of IHPs measuring > 2 cm. We report a case of gastric IHP that was diagnosed during screening endoscopy in an asymptomatic patient. We observed a whitish purulent exudate expressed from the SET, and endoscopic ultrasonography revealed a SET originating from the muscularis mucosa. Endoscopic submucosal dissection was performed to remove the SET, and final histopathological findings revealed a gastric IHP. This case report highlights that IHPs should be suspected in patients with a SET associated with whitish exudates.http://helicojournal.org/upload/pdf/kjhugr-2022-0059.pdfendoscopic submucosal dissectioninverted hyperplastic polypstomach |
| spellingShingle | Jee Won Boo Joon Sung Kim Byung-Wook Kim Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal Dissection The Korean Journal of Helicobacter and Upper Gastrointestinal Research endoscopic submucosal dissection inverted hyperplastic polyp stomach |
| title | Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal Dissection |
| title_full | Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal Dissection |
| title_fullStr | Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal Dissection |
| title_full_unstemmed | Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal Dissection |
| title_short | Gastric Inverted Hyperplastic Polyp Removed Using Endoscopic Submucosal Dissection |
| title_sort | gastric inverted hyperplastic polyp removed using endoscopic submucosal dissection |
| topic | endoscopic submucosal dissection inverted hyperplastic polyp stomach |
| url | http://helicojournal.org/upload/pdf/kjhugr-2022-0059.pdf |
| work_keys_str_mv | AT jeewonboo gastricinvertedhyperplasticpolypremovedusingendoscopicsubmucosaldissection AT joonsungkim gastricinvertedhyperplasticpolypremovedusingendoscopicsubmucosaldissection AT byungwookkim gastricinvertedhyperplasticpolypremovedusingendoscopicsubmucosaldissection |