Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy

Although gastric polyp is usually an incidental endoscopic finding, large-sized polyps can cause symptoms ranging from epigastralgia to bleeding from ulcerated polyps and gastric outlet obstruction. Although the gold standard of treatment is removal of the polyp either through endoscopic polypectomy...

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Autores principales: Sun, Cheuk-Kay, Yang, Kuo-Ching, Liao, Chao-Sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3153338/
https://www.ncbi.nlm.nih.gov/pubmed/21887127
http://dx.doi.org/10.1159/000328443
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author Sun, Cheuk-Kay
Yang, Kuo-Ching
Liao, Chao-Sheng
author_facet Sun, Cheuk-Kay
Yang, Kuo-Ching
Liao, Chao-Sheng
author_sort Sun, Cheuk-Kay
collection PubMed
description Although gastric polyp is usually an incidental endoscopic finding, large-sized polyps can cause symptoms ranging from epigastralgia to bleeding from ulcerated polyps and gastric outlet obstruction. Although the gold standard of treatment is removal of the polyp either through endoscopic polypectomy or surgical excision, complications associated with these procedures cannot be ignored. The risk becomes a major concern for patients at high risk for surgery when complications arise. We describe a debilitated 74-year-old woman who presented with early satiety, intermittent postprandial nausea and vomiting for three months. Upper endoscopy revealed a 2.5 cm pedunculated polyp over the gastric antrum causing intermittent obstruction. Considering her high risk for polypectomy, detachable snaring was performed without polypectomy in an outpatient setting. The patient was complication-free with complete relief of obstructive symptoms one week after the procedure. Subsequent follow-ups showed satisfactory healing without signs of mucosal disruption or recurrence. The results suggest that detachable snaring without polypectomy may be a therapeutic option for high-risk patients with benign symptomatic gastric polyps.
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spelling pubmed-31533382011-09-01 Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy Sun, Cheuk-Kay Yang, Kuo-Ching Liao, Chao-Sheng Case Rep Gastroenterol Published: May 2011 Although gastric polyp is usually an incidental endoscopic finding, large-sized polyps can cause symptoms ranging from epigastralgia to bleeding from ulcerated polyps and gastric outlet obstruction. Although the gold standard of treatment is removal of the polyp either through endoscopic polypectomy or surgical excision, complications associated with these procedures cannot be ignored. The risk becomes a major concern for patients at high risk for surgery when complications arise. We describe a debilitated 74-year-old woman who presented with early satiety, intermittent postprandial nausea and vomiting for three months. Upper endoscopy revealed a 2.5 cm pedunculated polyp over the gastric antrum causing intermittent obstruction. Considering her high risk for polypectomy, detachable snaring was performed without polypectomy in an outpatient setting. The patient was complication-free with complete relief of obstructive symptoms one week after the procedure. Subsequent follow-ups showed satisfactory healing without signs of mucosal disruption or recurrence. The results suggest that detachable snaring without polypectomy may be a therapeutic option for high-risk patients with benign symptomatic gastric polyps. S. Karger AG 2011-05-03 /pmc/articles/PMC3153338/ /pubmed/21887127 http://dx.doi.org/10.1159/000328443 Text en Copyright © 2011 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published: May 2011
Sun, Cheuk-Kay
Yang, Kuo-Ching
Liao, Chao-Sheng
Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy
title Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy
title_full Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy
title_fullStr Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy
title_full_unstemmed Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy
title_short Endoscopic Management of Gastric Polyp with Outlet Obstruction without Polypectomy
title_sort endoscopic management of gastric polyp with outlet obstruction without polypectomy
topic Published: May 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3153338/
https://www.ncbi.nlm.nih.gov/pubmed/21887127
http://dx.doi.org/10.1159/000328443
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