Nadir Bir Endoskopik Lezyon: Gastritis Cystica Polyposa

Öz

Gastritis cystica poliposa, genellikle gastrik cerrahi sonrası gastroenterik anostomoz hattında nadir olarak görülen nodüler, polipoid bir lezyondur. Lezyon genellikle güçlü vasküler yapıda olup gizli ya da aşikar üst gastrointestinal sistem kanamasına yol açabilmektedir. Yazıda, 20 yıl önce peptik ülser hastalığı nedeni ile opere edilen 50 yaşında bir erkek hastada gastro-enterik anostomoz hattında gelişen gastritis sistika poliposa lezyonunu anlatılmaktadır

Anahtar Kelimeler

• Gastritis sistika poliposa, Mide cerrahisi, Epitelyal hiperplazi, Demir eksikliği anemisi, Endoskopi

A Rare Endoscopic Lesion; Gastritis Cystica Polyposa

Abstract

Gatsritis cystica polyposa is a rare nodular, polypoid lesion that usually develops at the gastroenteric anastomosis site after gastric surgery. The lesion usually has a strong vascular structure and it can also be a cause of occult or obvious upper gastrointestinal bleeding. This report of a 50-year-old man documents gastritis cystica polyposa developing at a gastroenteric anastomosis site

Keywords

• Gastritis cystica polyposa, Gastric surgery, Epithelial hyperplasia, Iron deficiency anemia, Endoscopy

References

1. Franzin G, Musola R, Zamboni G, Manfrini. Gastritis cystica polyposa: A possible precancerous lesion. Tumori 1985; 71: 13-8.
2. Littler ER, Gleibermann E. Gastritis cystica polyposa. (Gastric mucosal prolapse at gastroenterostomy site, with cystic and infiltrative epithelial hyperplasia). Cancer 1972; 29:205-9.
3. Iwanaga T, Koyama H, Takahashi Y, Taniguchi H, Wada A. Diffuse submucosal cysts and carcinoma of the stomach. Cancer 1975;36:606-14.
4. Yanagiwa H, Matsuzaki O, Ishihara A, Yoshimura H. Heterotopic gastric glands in the submucosa of the stomach. Acta Pathol Jpn 1979;29:347-50.
5. Sunao Koga MD, Hidenobu Watanabe MD, Munetomo Enjoji MD. Stomal polypoid hypertrophic gastritis: A polypoid gastric lesion at gastroenterostomy site. Cancer 1979;43(2):647-57.
6. Oberman HA, Lodmell JG, Sower ND. Diffuse heterotopic cystic malformation of the stomach. N Engl J Med 1963;269:909-11.
7. Moon SY, Kim KO, Park SH, Yoo KS, Park CH, Kim JH, Park CK, Jun SY. Gastritis cystica profunda accompanied by multiple early gastric cancers. Korean J Gastroenterol 2010;55:325-30.
8. Joseph L. Laratta, Tatiana N. Buhtoiarova, Lauren S. Sparber, Ronald S. Chamberlain. Gastritis cystica profunda: A rare gastric tumor masquerading as a malignancy. Surgical Science 2012; 3:158-64.

9. Butt MO, Luck NH, Hassan SM, Abbas Z, Mubarak M. Gastritis profunda cystica presenting as gastric outlet obstruction and mimicking cancer: A case report . J Transl Int Med. 2015; 3(1): 35-7. Published online 2015 Apr 24.
10. Hirasaki S, Tanimizu M, Tsubouchi E, Nasu J, Masumoto T. Gastritis cystica polyposa concomitant with gastric inflammatory fibroid polyp occurring in an unoperated stomach. Intern Med 2005;44(1):46-9.
11. KMcCurdy KR, Parmar K, de Melo SW. Gastritis cystica profunda: A deeper problem. ACG Case Rep J 2016;3(4):e125. Published online: September 14, 2016.
12. Machicado J, Shroff J, Quesada A, Jelinek K, Spinn MP, Scott LD, Thosani N. Gastritis cystica profunda: Endoscopic ultrasound findings and review of the literature. EUS Journal June 2014;3(2): 131-4.
13. Tomizuka T, Mazaki T, Mado K, Henmi A, Ishii Y, Masuda H, Takayama T. A Case of castritis cystica profunda. Surgery 2008; 143(3):449-50.
14. Mitomi H, Iwabuchi K, Amemiya A, Kaneda G, Adachi K, Asao T. Immunohistochemical analysis of a case of gastritis cystica profunda associated with carcinoma development. Scandinavian Journal of Gastroenterology. 1998;33(11):1226-9.
15. Roepke TK, Purtell K, King EC, La Perle KM, Lerner DJ, Abbott GW. Targeted deletion of Kcne2 causes gastritis cystica profunda and gastric neoplasia. PLoS One 2010;5(7):e11451.
16. Wang L, Yan H, Cao DC, Huo L, Huo HZ, Wang B, Chen Y, Liu HL. Gastritis cystica profunda recurrence after surgical resection: 2-year follow-up. World Journal of Surgical Oncology 2014;12:133.
17. Choi MG, Jeong JY, Kim KM, Bae JM, Noh JH, Sohn TS, Kim S. Clinical significance of gastritis cystica profunda and its association with Epstein-Barr virus in gastric cancer. Cancer 2012; 118:5227-33.
18. Wiedemann T, Loell E, Mueller S, Stoeckelhuber M, Stolte M, Haas R, Rieder G. Helicobacter pylori cag- pathogenicity island-dependent early immunological response triggers later precancerous gastric changes in mongolian gerbils. PLoS One 2009; 4:e4754.
19. Molaei M, Yadollahzadeh M, Mashayekhi R, Foroutan M, Zali MR. Gastritis cystica polyposa in an unoperated stomach, treated by endoscopic polypectomy. Medical Journal of the Islamic Republic of Iran 2010;24(2):107-9.