Emna Ennaifer-Jerbi, Haïfa Tounsi-Guettiti, Moussaddak Azzouz, Majda Essid, Ammar Chebbi, Samir Boubaker
Laboratoire d'Anatomie Pathologique, Institut Pasteur, Tunis.
Tunis Med. 2005 Sep;83(9):562-7.
Gastritis cystica polyposa (GCP) is a rare inflammatory disease of the gastric remnant that usually develops after partial gastrectomy. It is defined by the presence of polyps on anastomotic gastric mucosa and at histopathological examination, by the presence of mucosal and submucosal cysts with foveolar hyperplasia. The disease is characterized by the frequency of gastro-intestinal bleeding and possibility of carcinomatous association. We report seven cases of GCP collected over 5 years (1994-1999). Diagnosis was made 9 to 45 years after partial gastrectomy and Finsterer. The patients were 52 to 72 years old. Revealing symptoms were cardiac failure, cardiac ischemia, melena, severe anemia and epigastric pain. For one patient, GCP was discovered casually. Endoscopic examination showed in all patients; the presence of several polyps sized between 3 to 15 mm on the perianastomotic gastric remnant. Histology examination of the polyps showed microscopic features of GCP in all cases. In one patient, there was a mild glandular atrophy with extensive intestinal metaplasia and mild dysplasia. Helicobacter pylori was present only in this case.
胃息肉样囊肿性胃炎（GCP）是一种罕见的胃残端炎症性疾病，通常在胃部分切除术后发生。它的定义是吻合口胃黏膜上存在息肉，组织病理学检查显示存在伴有小凹增生的黏膜和黏膜下囊肿。该疾病的特点是胃肠道出血频繁且有癌变关联的可能性。我们报告了5年（1994 - 1999年）内收集的7例GCP病例。诊断在胃部分切除术后9至45年做出。患者年龄在52至72岁之间。首发症状为心力衰竭、心肌缺血、黑便、严重贫血和上腹部疼痛。有1例患者是偶然发现GCP的。所有患者的内镜检查均显示；吻合口周围胃残端有几个大小在3至15毫米之间的息肉。所有病例的息肉组织学检查均显示GCP的微观特征。有1例患者存在轻度腺体萎缩伴广泛肠化生和轻度发育异常。仅在该病例中检测到幽门螺杆菌。
