Haensch W, Schentke K U
Klinik für Innere Medizin, Medizinischen Akademie Carl Gustav Carus Dresden.
Gastroenterol J. 1989;49(2):63-6.
In an endoscopic follow-up study of gastric polyps we examined their spontaneous disappearance, and the reaction of the rest of polyps after polypectomy. We found spontaneous disappearance in 28 (12.4%) out of 226 patients with gastric polyps. 19 patients showed complete absence of polyps in the later follow-up. Spontaneous disappearance was found in a great number of cases without biopsy of the polyps themselves (16 patients). In the cases of known histology there were predominantly inflammatory, benign polyps (16 out of 18 patients). From among 206 endoscopic polypectomies evident residual tissue was left behind in 19 (9.2%) cases. However, only one premalignant and one malignant residual part of polyp could be diagnosed. In the case of malignant degeneration (early cancer) there was successful treatment by means of 4/5 gastric resection.
在一项胃息肉的内镜随访研究中,我们观察了胃息肉的自然消失情况以及息肉切除术后其余息肉的反应。我们发现,226例胃息肉患者中有28例(12.4%)息肉自然消失。19例患者在后续随访中息肉完全消失。大量息肉未进行活检即自然消失(16例患者)。在已知组织学类型的病例中,主要为炎性良性息肉(18例患者中有16例)。206例内镜下息肉切除术中,有19例(9.2%)明显残留组织。然而,仅诊断出1例癌前息肉残留和1例恶性息肉残留。对于恶性变(早期癌),通过五分之四胃切除术成功治疗。