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Intermittent gastric outlet obstruction caused by a prolapsing antral gastric polyp.
MedLine Citation:
PMID:  21160624     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Mehul Parikh; Brian Kelley; Gabriel Rendon; Bincy Abraham
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastrointestinal oncology     Volume:  2     ISSN:  1948-5204     ISO Abbreviation:  World J Gastrointest Oncol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-12-16     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101532470     Medline TA:  World J Gastrointest Oncol     Country:  China    
Other Details:
Languages:  eng     Pagination:  242-6     Citation Subset:  -    
Affiliation:
Mehul Parikh, Brian Kelley, Gabriel Rendon, Bincy Abraham, Department of Internal Medicine, Baylor College of Medicine, Houston, TX 77030, United States.
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