[巨大胃息肉的息肉切除术及内镜治疗]

[Polypectomy and endoscopic management of a giant gastric polyp].

作者信息

Yriberry Ureña Simón, Vila Guitérrez Sandro, Salazar Muente Fernando

机构信息

Unidad de Endoscopia Terapéutica, Servicio de Gastroenterología (Basamea SCRL), Clínica Ricardo Palma, Lima, Perú.

出版信息

Rev Gastroenterol Peru. 2010 Apr-Jun;30(2):167-71.

PMID:20644611

Abstract

Gastric polyps are mainly hyperplastic and benign. They are associated with idiosinchratic factors, genetic or associated to chronic use of pump inhibitors. Endoscopic resection is recommended even though the rate of malignant transformation is very low. The vast majority are encountered as incidental findings in routine endoscopy. When they grow beyond 10mm (they may reach several centimetres in diameter) gastric polyps are a cause of dyspepsia, bleeding or gastric outlet obstruction, if located in the antrum. We report a safe endoscopic resection of a giant gastric polyp combining injection, elevation, endoloop and argon plasma coagulation (APC).

摘要

胃息肉主要是增生性的且为良性。它们与特发性因素、遗传因素或长期使用质子泵抑制剂有关。尽管恶变率很低，但仍建议进行内镜切除。绝大多数胃息肉是在常规内镜检查中偶然发现的。当胃息肉直径超过10毫米（直径可能达到几厘米）时，如果位于胃窦部，就会导致消化不良、出血或胃出口梗阻。我们报告了一例通过注射、抬举、圈套器和氩离子凝固术（APC）联合进行的巨大胃息肉安全内镜切除术。