Zhang ZongYao, Guo ZhengChang, Zhang JiaJia, Yu Xin
Department of General Surgery, The First Affiliated Hospital of Anhui University of Science and Technology, Huainan, China.
Department of General Surgery, Zhenjiang First People's Hospital, Zhenjiang, China.
Front Surg. 2023 Jan 5;9:1090622. doi: 10.3389/fsurg.2022.1090622. eCollection 2022.
Gastric polyps are one of the most common clinical diseases arising from the mucosal surface of the stomach. The benign nature of the gastric polyp and its absence of symptoms have been widely accepted. Diffuse benign inflammatory polyps spanning the entire gastric mucosa are relatively rare in young people.
Our objective was to report a 20-year-old woman who presented with epigastric pain and vomiting; upper gastrointestinal barium contrast roentgenography demonstrated a huge defect in the filling of the stomach. Upper endoscopy also showed the presence of dense inflammatory polyps in the stomach that were the cause of the severe pylorus obstruction. The diffuse benign gastric polyps were diagnosed as inflammatory gastric polyps on the basis of findings on the histopathological examination. She was delivered as a result of the operating procedure of total gastrectomy and Roux-en-Y anastomosis of the esophagus and jejunum. Postoperative nutritional support therapy was also implemented. Postoperative pathological examination revealed inflammatory papillary and villous polyps distributed over the stomach, and eosinophilic infiltration was found in the local area of the polyp. Polyps move like tufts of coral. During the 16-month follow-up, patients with symptoms of malnutrition and anemia recovered.
Nutritional support and a total gastrectomy were used to improve this patient's symptoms of malnutrition and anemia. Surgical intervention with appropriate nutritional support should be actively performed in these patients while strengthening the differential diagnosis of hereditary disease.
胃息肉是起源于胃黏膜表面的最常见临床疾病之一。胃息肉的良性本质及其无症状性已被广泛认可。弥漫性良性炎性息肉累及整个胃黏膜在年轻人中相对少见。
我们的目的是报告一名20岁女性，她出现上腹部疼痛和呕吐；上消化道钡餐造影显示胃充盈有巨大缺损。上消化道内镜检查还显示胃内存在致密的炎性息肉，这是严重幽门梗阻的原因。根据组织病理学检查结果，弥漫性良性胃息肉被诊断为炎性胃息肉。她接受了全胃切除术以及食管空肠Roux-en-Y吻合术。术后还实施了营养支持治疗。术后病理检查显示炎性乳头状和绒毛状息肉分布于胃内，息肉局部区域发现嗜酸性粒细胞浸润。息肉呈珊瑚状簇移动。在16个月的随访中，有营养不良和贫血症状的患者康复。
采用营养支持和全胃切除术改善了该患者的营养不良和贫血症状。对于这些患者，应积极进行手术干预并给予适当的营养支持，同时加强对遗传性疾病的鉴别诊断。
