ReMine S G, Hughes R W, Weiland L H
Mayo Clin Proc. 1981 Jun;56(6):371-5.
Results of 48 consecutive endoscopic gastric polypectomies were reviewed. The most frequent complaint initiating diagnostic workup was epigastric discomfort. Hyperplastic polyps predominated, followed by adenomatous polyps, carcinoids, and other. Two adenomatous polyps contained foci of in situ malignant change. The low incidence of malignant change in adenomatous polyps (17%) can be accounted for by the smaller size (mean 1.4 cm) than that in other reports. No malignancy was found in or in conjunction with hyperplastic site (two) and poor patient compliance (one)--and no deaths. Endoscopic gastric polypectomy has been demonstrated to be a safe and effective therapy for gastric polyps. For adenomatous gastric polyps, endoscopic removal when the polyp is less than 2 cm in diameter will yield a low incidence of malignant change.
回顾了连续48例内镜下胃息肉切除术的结果。引发诊断性检查的最常见主诉是上腹部不适。增生性息肉占主导，其次是腺瘤性息肉、类癌和其他类型。两个腺瘤性息肉含有原位恶性变灶。腺瘤性息肉恶性变的低发生率（17%）可归因于其尺寸（平均1.4厘米）比其他报告中的更小。在增生部位（两处）和患者依从性差（一处）未发现恶性病变，也未出现死亡病例。内镜下胃息肉切除术已被证明是治疗胃息肉的一种安全有效的方法。对于腺瘤性胃息肉，当息肉直径小于2厘米时，内镜切除将产生较低的恶性变发生率。
