Commentary

Gastric hyperplastic polyps are a strange epithelial disease, lying somewhere between neoplasia [1] [2] and exuberant scarring facilitated by chronic liver disease or Helicobacter pylori infection. Therefore, it is theoretically preferable to check that the lesion is not neoplastic by resecting it although invasive cancers are rare. But recurrence after resection is not uncommon, and sometimes in an even more exuberant form [3]. This approach of Perisetti et al., by elastic ligation, is interesting if it reduces the risk of recurrence, though at the cost of not performing a histological analysis. Strategies combining band ligation and resection could be evaluated to solve the different issues if long-term follow-up and larger series revealed low recurrence rates with band ligation compared to endoscopic resections.

Publication History

Article published online:
26 May 2021

• References

• 1 Forté E, Petit B, Walter T. et al. Risk of neoplastic change in large gastric hyperplastic polyps and recurrence after endoscopic resection. Endoscopy 2020; 52: 444-453
• 2 Lafeuille P, Chambon-Augoyard C, Napoléon M. et al. Malignant gastric hyperplastic polyp: endoscopic features of the demarcated malignant component. Endoscopy 2021; DOI: 10.1055/a-1352-2200.
• 3 Petit B, Rivory J, Lienhart I. et al. Extensive hyperplastic recurrence after complete R0 resection by endoscopic submucosal dissection of a gastric hyperplastic polyp with dysplasia. Endoscopy 2015; 47: E529-E530