title: Endoscopic and pathological aspects of gastric polyps: a Turkish referral center study.
abstract: OBJECTIVE
  The aim of the present study was to retrospectively analyze all the polyps of patients undergoing endoscopic polypectomy or forceps biopsy according to their types, frequency, localization, number and gender distribution.
  
  
  METHODS
  Data from patients who underwent upper endoscopy in the Türkiye Yüksek Ihtisas Postgraduate Research Hospital between March 2007 and November 2009 were analyzed retrospectively. Forceps biopsy or polypectomy were performed for all polypoid lesions that were identified during the endoscopy.
  
  
  RESULTS
  In the study period, 14,935 patients underwent 18,522 upper endoscopies. After excluding cirrhotic patients, and patients with a history of prior gastrectomy, chronic gastritis and edema or congestion, the remaining 124 (0.83%) patients with gastric polyps were included in the study. Histopathologically, the most frequently diagnosed polyps were hyperplastic polyps (55.6%). Fundic gland polyps (9.7%), foveolar hyperplasia (8.1%) and inflammatory polyps (7.3%) were also frequent. Adenocarcinoma was more frequently seen in males, whereas hyperplastic polyps and carcinoid tumors were found more often in females, and this difference was statistically significant (p<0.009).
  
  
  CONCLUSIONS
  Results of the present study indicate that hyperplastic polyps make up the largest group. Although there is widespread PPI use, no increases in the frequency of fundic gland polyps were observed. However, increases in the ratio of carcinoid tumors suggest a suspicion of tumor development with PPI use.
authors.affiliation: Department of Gastroenterology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Kekilli
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Beyazit
authors.forename: Kerem
authors.initials: K
authors.lastname: Karaman
authors.forename: Abdurrahim
authors.initials: A
authors.lastname: Sayilir
authors.forename: Mevlut
authors.initials: M
authors.lastname: Kurt
authors.forename: Ibrahim Koral
authors.initials: IK
authors.lastname: Onal
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Yesil
authors.forename: Meral
authors.initials: M
authors.lastname: Akdogan
authors.forename: Nurgul
authors.initials: N
authors.lastname: Sasmaz
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000473:pathology*; D012189:Retrospective Studies; D013272:Stomach Diseases / Q000473:pathology*; D014421:Turkey