Intermittent Gastric Outlet Obstruction Caused by a Prolapsing Antral Gastric Polyp

Overview

Journal World J Gastrointest Oncol

Publisher Baishideng Publishing Group

Date 2010 Dec 17

PMID 21160624

Citations 12

Authors

Mehul Parikh

Brian Kelley

Gabriel Rendon

Bincy Abraham

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Benign Blockage: Gastric Outlet Obstruction due to a Prolapsing Gastric Pedunculated Polyp-Case Report and Literature Review.

Zorzetti N, Lauro A, DAndrea V, Ruffato A, Ferruzzi L, Antonacci N Dig Dis Sci. 2021; 66(6):1791-1795.

PMID: 33634429 DOI: 10.1007/s10620-021-06890-x.

Impact of endoscopic sedation on gastric polyp detection: A one-center retrospective observational study.

Chang C, Huang T, Huang H, Shih Y, Chang W, Hsieh T Medicine (Baltimore). 2020; 99(41):e22556.

PMID: 33031301 PMC: 10545299. DOI: 10.1097/MD.0000000000022556.

Early gastric cancer with ball valve syndrome treated by endoscopic submucosal dissection.

Miyake M, Nishimura N, Shimodate Y, Doi A, Mouri H, Matsueda K Clin J Gastroenterol. 2019; 12(4):307-309.

PMID: 30838513 DOI: 10.1007/s12328-019-00955-1.

Prolapsed fundic gastric polyp causing gastroduodenal intussusception and acute pancreatitis.

Jetha Z, Lisi M J Surg Case Rep. 2018; 2018(7):rjy139.

PMID: 29992001 PMC: 6030949. DOI: 10.1093/jscr/rjy139.

Postprandial cardiogenic syncope caused by gastric polyp-induced pyloric obstruction in an elderly woman with a giant hiatal hernia: a case report.

Saito H, Miyazaki T, Sohda M, Sakai M, Honjyo H, Kumakura Y Surg Case Rep. 2017; 3(1):124.

PMID: 29238893 PMC: 5729177. DOI: 10.1186/s40792-017-0403-2.

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