[Epithelial gastric polyps in a series of 13000 gastroscopies].
The frequency and characteristics of epithelial gastric polyps were studied over a 4-years periods. In a series of 13,000 gastric fibroscopies, 191 patients (1.3 per cent) were fund to have a "polypous lesion". Among these, 48 had hyperplastic polyps, 19 had fundic gland polyps and 6 had adenomatous polyps. The remaining patients had either lesions of interstitial gastritis (118) or normal histology (34). Hyperplastic polyps were 5 mm large in 87 per cent of the cases, and 7 out of 10 were solitary. They were equally distributed between fundus and antrum and associated with atrophic gastritis in 9 out of 22 cases. In 2 cases, they were accompanied with gastric cancer. Fundic gland polyps were less than 5 mm large in 84 per cent of the cases and solitary in 5 out of 19 cases. Adenomatous polyps were associated with hyperplastic polyps in 4 patients, including 1 mixed polyp (hyperplastic containing adenomatous areas). Follow-up with regular endoscopic examinations is accepted for adenomatous polyps; it seems to be justified in patients with hyperplastic polyps, and lesions bigger than 10 mm should be removed in view of the as yet imperfectly evaluated risk of malignant degeneration.
Roseau
G
G
Service de Gastroentérologie, Hôpital Beaujon, Clichy.
Ducreux
M
M
Molas
G
G
Ponsot
P
P
Amouyal
P
P
Palazzo
L
L
Amouyal
G
G
Paolaggi
J A
JA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005336:Fiber Optic Technology; D005757:Gastritis, Atrophic / Q000150:complications; D005773:Gastroscopy; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000453:epidemiology / Q000473:pathology*; D013274:Stomach Neoplasms / Q000453:epidemiology / Q000473:pathology*
Les polypes gastriques épithéliaux. Dans une série de 13,000 fibroscopies gastriques.