Araştırma Makalesi
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Prevalence of gastric polyps during upper gastrointestinal system endoscopy and their location, size, and histopathologic features

Yıl 2014, , 38 - 40, 01.08.2014
https://doi.org/10.17940/endoskopi.74781

Öz

Background and Aims:We aimed to evaluate the location, size and histopathologic features of gastric polyps detected during upper gastrointestinal system endoscopy. Materials and Methods: We retrospectively evaluated the data of 123 of 6607 patients who were diagnosed to have gastric polyps during upper gastrointestinal system endoscopy in Kocaeli Derince Education and Research Hospital, Gastroenterology Endoscopy Unit, between January 2012 and December 2013. The location, size, histopathologic features, Helicobacter pylori positivity, and use of proton pump inhibitors were recorded. Results:14 (11.4%) of the polyps were located in the fundus, 20 (16.3%) in the corpus, and 50 (40.7%) in the antrum. Histopathologically, 81 (65.9%) were hyperplastic, 1 (0.89%) was a fundic gland polyp, and 13 (10.6%) were adenomatous. Helicobacter pylori positivity was more common in hyperplastic polyps than in the other polyps (42% vs 14.6%) (p=0.002). Conclusions:Gastric polyps are detected commonly during upper gastrointestinal system endoscopy. Although most are hyperplastic polyps, premalignant polyps may also be seen. In the present study, the ratio of fundic gland polyps was lower than in the literature, whereas the ratio of adenomatous polyps was simila

Kaynakça

  • Al-Haddad M, Ward EM, Bouras EP, Raimondo M. Hyperplastic polyps of the gastric antrum in patients with gastrointestinal blood loss. Dig Dis Sci 2007;52:105-9.
  • Kumar A, Quick CR, Carr-Locke DL. Prolapsing gastric polyp, an un- usual cause of gastric outlet obstruction: a review of the pathology and management of gastric polyps. Endoscopy 1996;28:452-5.
  • Voutilainen M, Mäntynen T, Kunnamo I, et al. Impact of clinical symp- toms and referral volume on endoscopy for detecting. Scand J Gastroen- terol 2003;38:109-13.
  • Burt RW. Gastric fundic gland polyps. Gastroenterology 2003;125:1462- 9.
  • Borch K, Skarsgård J, Franzén L, et al. Benign gastric polyps: morpho- logical and functional origin. Borch K, Skarsgård J, Franzén L, Mårdh S, Rehfeld JF. Dig Dis Sci 2003;48:1292-7.
  • Archimandritis A, Spiliadis C, Tzivras M, et al. Gastric epithelial polyps: a retrospective endoscopic study of 12974 symptomatic patients. Ital J Gastroenterol 1996;28:387-90.
  • Morais DJ, Yamanaka A, Zeitune JM, Andreollo NAGastric polyps: a ret- rospective analysis of 26,000 digestive endoscopies. Arq Gastroenterol 2007;44:14-7.
  • Goddard AF, Badreldin R, Pritchard DM, et al. The management of gas- tric polyps. Gut 2010;59:1270-6.
  • Oberhuber G, Stolte M. Gastric polyps: an update of their pathology and biological significance. Virchows Arch 2000;437:581-90.
  • Jain R, Chetty R. Gastric hyperplastik polyps: a review. Dig Dis Sci 2009;54:1839-46.
  • Dirschmid K, Platz-Baudin C, Stolte M. Why is the hyperplastic polyp a marker for the precancerous condition of the gastric mucosa? Virchows Arch 2006;448:80-4.
  • Zea-Iriarte WL, Sekine I, Itsuno M, et al. Carcinoma in gastric hyperplas- tic polyps. A phenotypic study. Dig Dis Sci 1996;41:377-86.
  • Orlowska J, Jarosz D, Pachlewski J, Butruk E. Malignant transformation of benign epithelial gastric polyps. Am J Gastroenterol. 1995;90:2152-9.
  • Daibo M, Itabashi M, Hirota T. Malignant transformation of gastric hy- perplastic polyps. Am J Gastroenterol 1987;82:1016-25.
  • Carmack SW, Genta RM, Schuler CM, Saboorian MH. The current spec- trum of gastric polyps: a 1-year national study of over 120.000 patients. Am J Gastroenterol 2009;104:1524-32.
  • 16 Owen DA. The stomach, In: Sternberg SS, Editor. Diagnostic Surgical Pathology, 3rd ed. Philadelphia. Lippincott Williams & Wilkins 1999; 1311-47.
  • Choudhry U, Boyce HW Jr, Coppola D. Proton pump inhibitor-associat- ed gastric polyps: a retrospective analysis of their frequency, and endo- scopic, histologic, and ultrastructural characteristics. Am J Clin Pathol 1998;110:615-21.
  • Jalving M, Koornstra JJ, Wesseling J, et al. Increased risk of fundic gland polyps during long-term proton pump inhibitor therapy. Aliment Phar- macol Ther 2006;24:1341-8.
  • Stolte M, Sticht T, Eidt S, et al. Frequency, location, and age and sex dis- tribution of various types of gastric polyp. Endoscopy 1994;26:659-65.
  • Kamiya T, Morishita T, Asakura H, et al. Long-term follow-up study on gastric adenoma and its relation to gastric protruded carcinoma. Cancer 1982;50:2496-503.
  • Nakamura T, Nakano G. Histopathological classification and malignant change in gastric polyps. J Clin Pathol 1985;38:754-64.
  • Pantanowitz L, Antonioli DA, Pinkus GS, et al. Inflammatory fibroid polyps of the gastrointestinal tract: evidence for a dendritic cell origin. Am J Surg Pathol 2004;28:107-14.

Gastroskopik incelemede mide polip sıklığı ve bu poliplerin yerleşim, boyut ve histopatolojik özellikleri

Yıl 2014, , 38 - 40, 01.08.2014
https://doi.org/10.17940/endoskopi.74781

Öz

Giriş ve Amaç:Üst gastrointestinal sistem endoskopisi esnasında saptanan mide poliplerinin sıklık, yerleşim, boyut ve histopatolojik özelliklerinin araştırılması. Gereç ve Yöntem: Ocak 2012-Aralık 2013 tarihleri arasında Kocaeli Derince Eğitim ve Araştırma Hastanesi Gastroenteroloji Endoskopi Ünitesi'nde yapılan 6607 üst gastrointestinal sistem endoskopisi esnasında mide polip saptanan 123 hastanın verilerini retrospektif olarak inceledik. Poliplerin yerleşim yeri, boyutu, histopatolojik özelliği, Helicobacter pylori pozitifliği ve proton pompa inhibitörü kullanımı kaydedildi. Bulgular:Poliplerin 14 tanesi (%11,4) fundusta, 20 tanesi (%16,3) korpusta ve 50 tanesi (%40,7) antrumda idi. 81 tanesi (%65,9) hiperplastik polip, 1 tanesi (%0,89) fundik gland polip ve 13 tanesi (%10,6) adenomatöz polip idi. Hiperplastik poliplerde Helicobacter pylori pozitifliği, diğer polipler göre daha sıktı (%42'ye %14,6) (p=0,002). Sonuç:Mide polipleri üst gastrointestinal sistem endoskopisi esnasında sıklıkla karşımıza çıkabilmektedir. En sık hiperplastik polip izlense de malignleşme potansiyeli olan poliplerle de karşılaşabiliriz. Bu çalışmada fundik gland poliplerin oranı literatüre göre düşük iken, adenomatöz polip oranı benzerdi.

Kaynakça

  • Al-Haddad M, Ward EM, Bouras EP, Raimondo M. Hyperplastic polyps of the gastric antrum in patients with gastrointestinal blood loss. Dig Dis Sci 2007;52:105-9.
  • Kumar A, Quick CR, Carr-Locke DL. Prolapsing gastric polyp, an un- usual cause of gastric outlet obstruction: a review of the pathology and management of gastric polyps. Endoscopy 1996;28:452-5.
  • Voutilainen M, Mäntynen T, Kunnamo I, et al. Impact of clinical symp- toms and referral volume on endoscopy for detecting. Scand J Gastroen- terol 2003;38:109-13.
  • Burt RW. Gastric fundic gland polyps. Gastroenterology 2003;125:1462- 9.
  • Borch K, Skarsgård J, Franzén L, et al. Benign gastric polyps: morpho- logical and functional origin. Borch K, Skarsgård J, Franzén L, Mårdh S, Rehfeld JF. Dig Dis Sci 2003;48:1292-7.
  • Archimandritis A, Spiliadis C, Tzivras M, et al. Gastric epithelial polyps: a retrospective endoscopic study of 12974 symptomatic patients. Ital J Gastroenterol 1996;28:387-90.
  • Morais DJ, Yamanaka A, Zeitune JM, Andreollo NAGastric polyps: a ret- rospective analysis of 26,000 digestive endoscopies. Arq Gastroenterol 2007;44:14-7.
  • Goddard AF, Badreldin R, Pritchard DM, et al. The management of gas- tric polyps. Gut 2010;59:1270-6.
  • Oberhuber G, Stolte M. Gastric polyps: an update of their pathology and biological significance. Virchows Arch 2000;437:581-90.
  • Jain R, Chetty R. Gastric hyperplastik polyps: a review. Dig Dis Sci 2009;54:1839-46.
  • Dirschmid K, Platz-Baudin C, Stolte M. Why is the hyperplastic polyp a marker for the precancerous condition of the gastric mucosa? Virchows Arch 2006;448:80-4.
  • Zea-Iriarte WL, Sekine I, Itsuno M, et al. Carcinoma in gastric hyperplas- tic polyps. A phenotypic study. Dig Dis Sci 1996;41:377-86.
  • Orlowska J, Jarosz D, Pachlewski J, Butruk E. Malignant transformation of benign epithelial gastric polyps. Am J Gastroenterol. 1995;90:2152-9.
  • Daibo M, Itabashi M, Hirota T. Malignant transformation of gastric hy- perplastic polyps. Am J Gastroenterol 1987;82:1016-25.
  • Carmack SW, Genta RM, Schuler CM, Saboorian MH. The current spec- trum of gastric polyps: a 1-year national study of over 120.000 patients. Am J Gastroenterol 2009;104:1524-32.
  • 16 Owen DA. The stomach, In: Sternberg SS, Editor. Diagnostic Surgical Pathology, 3rd ed. Philadelphia. Lippincott Williams & Wilkins 1999; 1311-47.
  • Choudhry U, Boyce HW Jr, Coppola D. Proton pump inhibitor-associat- ed gastric polyps: a retrospective analysis of their frequency, and endo- scopic, histologic, and ultrastructural characteristics. Am J Clin Pathol 1998;110:615-21.
  • Jalving M, Koornstra JJ, Wesseling J, et al. Increased risk of fundic gland polyps during long-term proton pump inhibitor therapy. Aliment Phar- macol Ther 2006;24:1341-8.
  • Stolte M, Sticht T, Eidt S, et al. Frequency, location, and age and sex dis- tribution of various types of gastric polyp. Endoscopy 1994;26:659-65.
  • Kamiya T, Morishita T, Asakura H, et al. Long-term follow-up study on gastric adenoma and its relation to gastric protruded carcinoma. Cancer 1982;50:2496-503.
  • Nakamura T, Nakano G. Histopathological classification and malignant change in gastric polyps. J Clin Pathol 1985;38:754-64.
  • Pantanowitz L, Antonioli DA, Pinkus GS, et al. Inflammatory fibroid polyps of the gastrointestinal tract: evidence for a dendritic cell origin. Am J Surg Pathol 2004;28:107-14.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Mesut Sezikli Bu kişi benim

Züleyha Akkan Çetinkaya Bu kişi benim

Göktuğ Şirin Bu kişi benim

Fatih Güzelbulut Bu kişi benim

Galip Egemen Atar Bu kişi benim

Didem Eroğlu Bu kişi benim

Emre Dönmez Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2014
Yayımlandığı Sayı Yıl 2014

Kaynak Göster

APA Sezikli, M., Çetinkaya, Z. A., Şirin, G., Güzelbulut, F., vd. (2014). Gastroskopik incelemede mide polip sıklığı ve bu poliplerin yerleşim, boyut ve histopatolojik özellikleri. Endoskopi Gastrointestinal, 22(2), 38-40. https://doi.org/10.17940/endoskopi.74781
AMA Sezikli M, Çetinkaya ZA, Şirin G, Güzelbulut F, Atar GE, Eroğlu D, Dönmez E. Gastroskopik incelemede mide polip sıklığı ve bu poliplerin yerleşim, boyut ve histopatolojik özellikleri. Endoskopi Gastrointestinal. Ağustos 2014;22(2):38-40. doi:10.17940/endoskopi.74781
Chicago Sezikli, Mesut, Züleyha Akkan Çetinkaya, Göktuğ Şirin, Fatih Güzelbulut, Galip Egemen Atar, Didem Eroğlu, ve Emre Dönmez. “Gastroskopik Incelemede Mide Polip sıklığı Ve Bu Poliplerin yerleşim, Boyut Ve Histopatolojik özellikleri”. Endoskopi Gastrointestinal 22, sy. 2 (Ağustos 2014): 38-40. https://doi.org/10.17940/endoskopi.74781.
EndNote Sezikli M, Çetinkaya ZA, Şirin G, Güzelbulut F, Atar GE, Eroğlu D, Dönmez E (01 Ağustos 2014) Gastroskopik incelemede mide polip sıklığı ve bu poliplerin yerleşim, boyut ve histopatolojik özellikleri. Endoskopi Gastrointestinal 22 2 38–40.
IEEE M. Sezikli, Z. A. Çetinkaya, G. Şirin, F. Güzelbulut, G. E. Atar, D. Eroğlu, ve E. Dönmez, “Gastroskopik incelemede mide polip sıklığı ve bu poliplerin yerleşim, boyut ve histopatolojik özellikleri”, Endoskopi Gastrointestinal, c. 22, sy. 2, ss. 38–40, 2014, doi: 10.17940/endoskopi.74781.
ISNAD Sezikli, Mesut vd. “Gastroskopik Incelemede Mide Polip sıklığı Ve Bu Poliplerin yerleşim, Boyut Ve Histopatolojik özellikleri”. Endoskopi Gastrointestinal 22/2 (Ağustos 2014), 38-40. https://doi.org/10.17940/endoskopi.74781.
JAMA Sezikli M, Çetinkaya ZA, Şirin G, Güzelbulut F, Atar GE, Eroğlu D, Dönmez E. Gastroskopik incelemede mide polip sıklığı ve bu poliplerin yerleşim, boyut ve histopatolojik özellikleri. Endoskopi Gastrointestinal. 2014;22:38–40.
MLA Sezikli, Mesut vd. “Gastroskopik Incelemede Mide Polip sıklığı Ve Bu Poliplerin yerleşim, Boyut Ve Histopatolojik özellikleri”. Endoskopi Gastrointestinal, c. 22, sy. 2, 2014, ss. 38-40, doi:10.17940/endoskopi.74781.
Vancouver Sezikli M, Çetinkaya ZA, Şirin G, Güzelbulut F, Atar GE, Eroğlu D, Dönmez E. Gastroskopik incelemede mide polip sıklığı ve bu poliplerin yerleşim, boyut ve histopatolojik özellikleri. Endoskopi Gastrointestinal. 2014;22(2):38-40.