[胃息肉。萨尔瓦多·苏比拉án国家营养研究所内镜科的经验]

[Gastric polyps. Experience at the department of endoscopy of the Salvador Zubirán National Institute of Nutrition].

作者信息

Santiago Gallo R, Rodríguez Hernández H, Elizondo Rivera J

机构信息

Departamento de Endoscopia del Instituto Nacional de la Nutrición, Salvador Zubirán.

出版信息

Rev Gastroenterol Mex. 1990 Apr-Jun;55(2):51-4.

PMID:2094944

Abstract

During 1981-1989 we seen 54 patients with gastric polyps in the Instituto Nacional de la Nutrición SZ, Endoscopy Dept., México City. We found 100 polyps among 15,974 upper endoscopy studies (0.33%), being multiple in 22 patients with an overall of 68 polyps. Females had a predominance of 2:1 with prevalence from the 5th to 8th decades. All were asymptomatic in regard to polyps. Its main locations were in antrum (46%) and corpus (39%). They measured an average of 8 mm with a range from 5 to 25. Only three adenomatous polyps shows dysplastic changes, two with moderate dysplasia and one, bigger than 20 mm, had severe dysplasia (carcinoma in situ). Histological findings were: Inflammatory (chronic gastritis) 30%, adenomatous 22%, hyperplastic 17% and hamartomatous 13%. In seven patients we seen recurrence at follow up.

摘要

1981年至1989年期间，我们在墨西哥城国家营养研究所内镜科诊治了54例胃息肉患者。在15974例上消化道内镜检查中发现了100个息肉（0.33%），其中22例为多发息肉，共计68个。女性占优势，男女比例为2:1，发病高峰在50至80岁。所有息肉患者均无相关症状。息肉主要位于胃窦（46%）和胃体（39%）。息肉平均大小为8毫米，范围在5至25毫米之间。仅3个腺瘤性息肉出现发育异常改变，2个为中度发育异常，1个大于20毫米，有重度发育异常（原位癌）。组织学检查结果为：炎症性（慢性胃炎）30%，腺瘤性22%，增生性17%，错构瘤性13%。7例患者随访时出现复发。