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

Abstract

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

Keywords

• Gastroscopic examination
• gastric polyps
• endoscopy

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

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.

Anahtar Kelimeler

• Gastroskopik inceleme
• mide polibi
• poliplerin

Kaynakça

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