Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp

Most gastric polyps have an asymptomatic presentation and are an incidental finding on upper endoscopy. Symptomatic presentations can range from an ulcerated polyp leading to anemia and occult bleed to complete gastric outlet obstruction. We report a case of an 89-year-old woman who presented with p...

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Bibliographic Details
Published in:World journal of gastrointestinal oncology 2010-05, Vol.2 (5), p.242-246
Main Authors: Parikh, Mehul, Kelley, Brian, Rendon, Gabriel, Abraham, Bincy
Format: Article
Language:English
Subjects:
Case Report
Endoscopy
Hyperplastic
polyps
Stomach
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Summary:Most gastric polyps have an asymptomatic presentation and are an incidental finding on upper endoscopy. Symptomatic presentations can range from an ulcerated polyp leading to anemia and occult bleed to complete gastric outlet obstruction. We report a case of an 89-year-old woman who presented with postprandial nausea and early satiety. Her upper endoscopy revealed a 2 cm pedunculated hyperplastic polyp arising from the antrum of the stomach which was seen prolapsing into the pylorus causing intermittent gastric outlet obstruction. In the present report, we statistically analyzed 39 prolapsing gastric polyps previously reported in the English literature and demonstrate the current utility of monopolar snare polypectomy in establishing a histological diagnosis while offering simultaneous treatment. Additionally, we review the literature for the management of all hyperplastic gastric polyps in relation to advancements in digestive endoscopy.
ISSN:1948-5204
1948-5204
DOI:10.4251/wjgo.v2.i5.242