GASTRIC POLYPS – PRECANCEROUS CONDITIONS

Aims:

Gastric polyps represent in most cases a random discovery in routine endoscopy, rarely associating a specific symptomatology. However, proper diagnosis and management of gastric polyps is important because some types are potentially malignant.

Methods:

We performed a retrospective study at the Institute of Gastroenterology and Hepatology Iasi between May 2016 and October 2016. Using the endoscopy records from the clinic archive we examined the data of 32 patients (41% men and 59% female, mean age-63 years old) who experienced dyspeptic syndrome with no associated alarm signs (weight loss, anemic syndrome, upper digestive haemorrhage), in which upper gastric endoscopy described one or more gastric polyps. Biopsy was taken from the polyps for histological examination and from the antrum for the detection of Helicobacter pylori infection.

Results:

Of 32 patients examined, who had one or more polyps with the size range from 2 to 45 mm, to 30 patients (93.75%) the histological examination identified hyperplasic polyps with gastric mucosa with inflammatory infiltration and only 2 polyps (6.25%) with mild dysplasia.

Conclusions:

Most patients with dyspeptic syndrome in whom gastric polyps have been identified have histological result of hyperplasic polyps with low risk of malignancy.