Evaluation and management of gastric epithelial polyps

• Type: Article in International Scientific Journal
• Date: 2017

Authors

Castro, R (Author) Other; Pedro Pimentel-Nunes (Author) FMUP; Dinis Ribeiro, M (Author) Other

Journal

Title: Best Practice and Research in Clinical Gastroenterology

Vol. 31

Pages: 381-387

ISSN: 1521-6918

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 29 Citations

Scopus - 37 Citations

Other information

Authenticus ID: P-00N-2A0

DOI: 10.1016/j.bpg.2017.06.001

Abstract (EN): Gastric polyps include a wide spectrum of lesions with different histology and neoplastic potential. They are found in up to 6% of upper gastrointestinal endoscopy and are usually asymptomatic and incidentally diagnosed, being in the vast majority epithelial gastric polyps. Hyperplastic, fundic gland and adenomas are the most common types of gastric polyps and, although each type may have typical endoscopic appearances, they all must be sampled at the initial endoscopy for histological assessment. Also, the normal appearing gastric mucosa should be sampled to stage atrophic changes, rule out endoscopically non-visible dysplasia and to diagnose Helicobacter pylori. Polyposis syndromes that affect the stomach are rare but should be taken into account. Hamartomatous polyps can be found in Juvenile polyposis, Cowden syndrome and Peutz Jeghers syndrome. On the other hand, multiple fundic gland polyps are present in the majority of patients with familial adenomatous polyposis. In this study we provide a comprehensive review on the evaluation and management of gastric epithelial polyps, in this way helping physicians to properly handle this type of lesions.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 7