The Evaluation of Gastric Polyps Detected During Upper Gastrointestinal Endoscopy

Yıl 2024, Cilt: 6 Sayı: 1, 141 - 145, 31.01.2024

Ali Rıza Çalışkan , Hüseyin Kaçmaz

https://doi.org/10.37990/medr.1404187

Öz

Aim: Management of gastric polyps depends on the clinical condition of the patient and the malignant potential of the detected polyps. This study aimed to evaluate the frequency of polyps detected during the gastroscopy procedure, the demographic characteristics of patients diagnosed with gastric polyp, the endoscopic and histopathological characteristics of polyps, other endoscopic findings accompanying polyps, and treatment methods.
Material and Method: A total of 177 patients diagnosed with gastric polyp via endoscopy were enrolled in this retrospective analysis. Patients' age, gender, upper gastrointestinal endoscopy, and epicrisis reports were obtained from the hospital's electronic database. The histopathological characteristics of gastric polyps detected during endoscopy and polypectomy were evaluated.
Results: There was no statistically significant difference in the number of polyps and polyp size according to the gender of the patients. It was observed that there was no statistically significant relationship in terms of the anatomical localization of the polyp and the polyp pathology groups. No statistically significant difference was found in the number of polyps according to the age groups of the patients. Still, a statistically significant difference was observed in the size of the polyps (p<0.05). As a result of the Mann Whitney U test with Bonferroni correction, which was performed to determine which age group this difference originates from, it was determined that the difference arises from the 18-50 age group and the over 65 age group. It was observed that there was no statistically significant relationship between the anatomical localization of the polyp and the pathology of the polyp according to age groups.
Conclusion: Due to the prevalence of nonspecific findings, upper endoscopic examination should be performed in patients with these complaints, especially those over fifty. When detected, excision or follow-up with a biopsy of the polyp and surrounding tissue is required if this is not possible.

Anahtar Kelimeler

gastric polyps, endoscopy, gastroscopy, malignancy, polypectomy

Etik Beyan

Adıyaman üniversitesi girişimsel olmayan klinik araştırmalar etik kurul onayı

Destekleyen Kurum

No

Proje Numarası

2023/3-9

Kaynakça

• Arteaga CD, Wadhwa R. Gastric polyp. In: StatPearls. Treasure Island (FL): StatPearls Publishing; July 10, 2023.
• Erdoğan Ç, Arı D, Yeşil B, et al. Evaluation of non-gastric upper gastrointestinal system polyps: an epidemiological assessment. Sci Rep. 2023;13:6168.
• Early D. Diagnosis and approach to gastric polyps. Gastrointest Endosc. 2023;98:618-20.
• Chen H, Wu Y, Ma Y, Li R. Analysis of risk factors for postoperative bleeding and polyp recurrence in adolescents with gastric polyps treated with endoscopic mucosal resection: a retrospective cohort study. Transl Pediatr. 2023;12:375-86.
• Salami AC, Stone JM, Greenberg RH, et al. Early prophylactic gastrectomy for the management of gastric adenomatous proximal polyposis syndrome (GAPPS). ACS Case Rev Surg. 2022;3:62-8.
• Draganov PV, Wang AY, Othman MO, Fukami N. AGA institute clinical practice update: endoscopic submucosal dissection in the United States. Clin Gastroenterol Hepatol. 2019;17:16-25.e1.
• Namasivayam V, Koh CJ, Tsao S, et al. Academy of Medicine, Singapore clinical guideline on endoscopic surveillance and management of gastric premalignant lesions. Ann Acad Med Singap. 2022;51:417-35.
• Kelly PJ, Lauwers GY. Clinical guidelines: consensus for the management of patients with gastric polyps. Nat Rev Gastroenterol Hepatol. 2011;8:7-8.
• Han AR, Sung CO, Kim KM, et al. The clinicopathological features of gastric hyperplastic polyps with neoplastic transformations: a suggestion of indication for endoscopic polypectomy. Gut Liver. 2009;3:271-5.
• Vallot T. Gastric polyps. Presse Med. 2007;36:1412-7.
• Abraham SC, Singh VK, Yardley JH, et al. Hyperplastic polyps of the stomach: associations with histologic patterns of gastritis and gastric atrophy. Am J Surg Pathol. 2001;25:500-7.
• 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 NA. Gastric polyps: a retrospective analysis of 26,000 digestive endoscopies. Arq Gastroenterol. 2007;44:14-7.
• Niu JC, Qin Y. Fundic gland polyps: Should my patient stop taking PPIs?. Cleve Clin J Med. 2023;90:157-60.
• Sami AS, Sylvester FA, Attard T, Mir S. Fundic gland polyps: strategizing a surveillance framework for children and adolescents. J Pediatr Gastroenterol Nutr. 2023;77:439-41.
• Carr S, Kasi A. Familial adenomatous polyposis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; February 25, 2023.
• DelSignore M, Jeong T, Denmark G, et al. Incidence and natural history of gastric high-grade dysplasia in patients with familial adenomatous polyposis syndrome. Gastrointest Endosc. 2023;97:25-34.e6.
• Shibagaki K, Ishimura N, Kotani S, et al. Endoscopic differential diagnosis between foveolar-type gastric adenoma and gastric hyperplastic polyps in Helicobacter pylori-naïve patients. Gastric Cancer. 2023;26:1002-11.
• Faujo Nintewoue GF, Kouitcheu Mabeku LB. Helicobacter pylori infection promotes gastric premalignancies and malignancies lesions and demotes hyperplastic polyps: a 5 year multicentric study among cameroonian dyspeptic patients. Asian Pac J Cancer Prev. 2023;24:171-83.
• Chung WC. Helicobacter pylori eradication reduces risk for recurrence of gastric hyperplastic polyp after endoscopic resection. Korean J Intern Med. 2023;38:141-3.
• Cho YS, Nam SY, Moon HS, et. al. Helicobacter pylori eradication reduces risk for recurrence of gastric hyperplastic polyp after endoscopic resection. Korean J Intern Med. 2023;38:167-75.