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Gastric polypoid lesion at the antrum
1 Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital and Mackay Medicine, Nursing and Management College, Taipei, Taiwan
2 Department of Pathology, Mackay Memorial Hospital, Taipei, Taiwan
Correspondence to:
Dr M-J Chen, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, No 92, Sec 2, Chung-Shan North Road, Taipei, Taiwan; mingjen.ch@msa.hinet.net
| The first 150 words of the full text of this article appear below. |
CLINICAL PRESENTATION
A 79-year-old man underwent upper endoscopy 5 months ago because of dyspepsia and anaemia, with haemoglobin of 7.2 g/dl. Upper endoscopy revealed an ulcer 12 mm in diameter at the antrum (fig 1A) and biopsies showed benign ulceration and were negative for Helicobacter pylori infection. The patient was treated with a 4-month course of omeprazole with relief of symptoms. After the treatment, endoscopy was performed and revealed a 15 mm diameter, broad-based polypoid lesion with a villous-appearing surface at the previous ulcer site at the antrum (fig 1B). Endoscopic ultrasonography showed a hypoechoic homogenous lesion within the first and secondary echo layer of the stomach (fig 1C). Endoscopic mucosectomy was carried out for this lesion. Colonoscopy showed no abnormality.
Figure 1 Upper endoscopy revealed (A) an ulcer 12 mm in diameter at the antrum and (B) a 15 mm diameter broad-based polypoid lesion with a villous-appearing | |||||||||
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Gut 2009 58: 1024.[Extract] [Full Text] [PDF]
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