Natural Polypectomy Of A Gastric Polyp
Choi, H. H., Kim, S. S., Kim, H. K., Kim, S. W., & Chae, H. S. (2018). Natural polypectomy of a gastric polyp. Gastrointestinal endoscopy, 87(5), 1354–1355. https://doi.org/10.1016/j.gie.2017.10.017
View Original Source →Case Details
Disease Location
Stomach
Personal Characteristics
73-year-old woman
Clinical Characteristics
Admitted to the hospital for a gastric polypectomy. Nine months earlier, she had visited the hospital because of abdominal discomfort. At that time, upper endoscopy showed a 1.8-cm pedunculated polyp on the lesser curvature of the prepyloric antrum. A biopsy specimen was obtained, and it was diagnosed as a hyperplastic polyp. Before revisiting the hospital for the polypectomy, the patient experienced melena and abdominal pain for several days. Additionally, before experiencing melena, she had a history of using nonsteroidal anti-inflammatory drugs (nsaids) for back pain.
Remission Characteristics
Upon revisit, upper endoscopy revealed that the pedunculated polyp previously located on the prepyloric antrum had disappeared, and a small active ulcer had formed at the same site. The ulcer was confirmed as benign, both endoscopically and histologically
Treatment & Mechanisms
Proposed Remission Mechanisms
Likely to undergo traction mechanically and torsion by peristalsis. Additionally, ulcerogenic medications such as nsaids may also play a role in autoamputation.
Clinical Treatment
Biopsy, nsaid