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非感染性胃中质子泵抑制剂相关的大增生性息肉

Proton Pump Inhibitor-Associated Large Hyperplastic Polyp in Non--Infected Stomach.

作者信息

Kubo Kimitoshi, Kimura Noriko, Maiya Norishige, Matsuda Soichiro, Tsuda Momoko, Mizushima Takeshi, Kato Mototsugu

机构信息

Departments of Gastroenterology and Pathology, Hakodate, Japan.

National Hospital Organization Hakodate National Hospital, Hakodate, Japan.

出版信息

Case Rep Gastroenterol. 2021 Jun 21;15(2):539-544. doi: 10.1159/000514530. eCollection 2021 May-Aug.

Abstract

A proton pump inhibitor (PPI)-associated hyperplastic polyp (HP) in the non--infected stomach is rare, and its endoscopic features remain poorly described. A 42-year-old man with tarry stool was referred to our hospital for examination and treatment. He had taken PPI for 14 years and was confirmed to be -negative. Transnasal endoscopy revealed bleeding from a 20-mm, reddish pedunculated polyp with a nodular surface, located in the greater curvature of the upper gastric body. Endoscopic mucosal resection was performed, and the lesion was diagnosed as an HP. To our knowledge, this report represents a valuable addition to the HP literature describing a rare case of PPI-associated large HP in the non--infected stomach.

摘要

非感染性胃中质子泵抑制剂(PPI)相关的增生性息肉(HP)较为罕见,其内镜特征的描述仍很有限。一名42岁黑便男性因检查和治疗转诊至我院。他服用PPI已14年,检测结果为阴性。经鼻内镜检查发现胃体上部大弯处有一个20毫米、表面呈结节状的红色带蒂息肉出血。进行了内镜黏膜切除术,病变被诊断为HP。据我们所知,本报告为HP文献增添了有价值的内容,描述了一例非感染性胃中罕见的PPI相关大HP病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfbf/8454250/0bcbec970059/crg-0015-0539-g01.jpg

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