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增生性胃息肉导致进行性胃出口梗阻。

Hyperplastic gastric polyp causing progressive gastric outlet obstruction.

作者信息

Dean P G, Davis P M, Nascimento A G, Farley D R

机构信息

Department of Surgery, Mayo Clinic Rochester, MN 55905, USA.

出版信息

Mayo Clin Proc. 1998 Oct;73(10):964-7. doi: 10.4065/73.10.964.

DOI:10.4065/73.10.964
PMID:9787747
Abstract

Hyperplastic polyps represent 75 to 90% of gastric polypoid lesions. The manifestations of these unique gastric neoplasms vary, including abdominal pain, nausea, and vomiting or gastrointestinal bleeding. The vast majority of these lesions are small, asymptomatic, and found incidentally on radiologic evaluation or endoscopic examination of the upper gastrointestinal tract. Herein we describe a large, benign, pedunculated hyperplastic polyp that led to progressive gastric outlet obstruction. In addition, we provide an overview of gastric polyps and a review of the literature. Excision of gastric polyps by endoscopic or surgical means is recommended as prudent treatment to eliminate occurrence of malignant foci.

摘要

增生性息肉占胃息肉样病变的75%至90%。这些独特的胃肿瘤表现各异,包括腹痛、恶心、呕吐或胃肠道出血。这些病变绝大多数较小,无症状,在上消化道的放射学评估或内镜检查时偶然发现。在此我们描述一例导致进行性胃出口梗阻的巨大、良性、有蒂增生性息肉。此外,我们还提供了胃息肉的概述并对文献进行了综述。建议通过内镜或手术方式切除胃息肉,作为消除恶性病灶发生的谨慎治疗方法。

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