Gastric polyps: endoscopic and histological aspects of the surrounding gastric mucosa

Aims study the endoscopic and histological aspects of the gastric mucosa surrounding gastric polyps.

Methods This is a retrospective descriptive study spread over a period of 13 years (September 2009 – September 2022) in our endoscopy unit including all patients who underwent upper gastrointestinal endoscopy in whom we found a gastric polyp with biopsy of the polyp and the adjacent mucosa

Results Out of 30974 upper endoscopies performed during the study period, a gastric polyp was found in 324 patients with a prevalence of 1.04%. Our series was composed of 174 women and 150 men, The average age of our patients was 54 years (24-82 years). The indications for gastroscopy were essentially: epigastric pain (38%), anemia (27%), chronic liver disease (14%). The majority of patients (69% of cases) had a single polyp, 22.5% of patients had between 2 and 10 polyps and 8.5% of patients had gastric polyposis. Anatomopathological examination of the polyp was found in 62% of the patients and showed an inflammatory polyp in half of the cases with normal surrounding gastric mucosa. Hyperplastic polyps were found in 22% of the cases with a biopsy of the adjacent gastric mucosa showing HP positive chronic gastritis in 62.5% of the cases. Pathological examination of the polyp revealed an adenomatous polyp in 21% of cases and gastric biopsy of the adjacent mucosa showed intestinal metaplasia with positive HP (33% of cases). For the rest of the included patients, a glandular-cystic polyp was objectified in 5% of the cases with normal gastric mucosa.

Conclusions antral and fundic biopsies shoud be systematically done in gastric polyps

Publikationsverlauf

Artikel online veröffentlicht:
14. April 2023