Gastric polyps

Relationship of size and histology to cancer risk

Gregory G. Ginsberg, Firas Al Kawas, David E. Fleischer, Harold F. Reilly, Stanley B. Benjamin

Research output: Contribution to journalArticle

Abstract

Objectives: Management of gastric polyps based on polyp size (<or > 2 cm), and histology obtained from forceps biopsy sampling is controversial. To illuminate this subject, the 4-yr experience with endoscopic management of gastric epithelial polyps at a university hospital and a Veterans Administration medical center was reviewed with histopathologic correlation. Methods: A computer data-base was used to recall the endoscopic diagnosis of 'gastric polyp.' Endoscopy reports, video, and still photography were reviewed for data on polyp appearance, size, location, and management. These data had been entered prospectively as required by the Computer-Based Management System. Histopathology was reviewed by a second, blinded, pathologist. Gastric polyps of epithelial origin, at least 0.5 cm in diameter, and not associated with polyposis syndromes, were included. Results: Thirty-five gastric polyps in 23 patients met inclusion criteria. Snare polypectomy was ultimately performed on 26, and complete resection with forceps biopsy alone on 9. On histopathology 31 polyps were hyperplastic and 4 were adenomas. Six hyperplastic polyps contained focal dysplasia. Among these, carcinoma in situ was identified in three, all 0.5 cm be removed in toto.

Original languageEnglish (US)
Pages (from-to)714-717
Number of pages4
JournalAmerican Journal of Gastroenterology
Volume91
Issue number4
StatePublished - Apr 1996
Externally publishedYes

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Polyps
Stomach
Histology
Neoplasms
Surgical Instruments
Biopsy
United States Department of Veterans Affairs
Photography
Carcinoma in Situ
Adenoma
Endoscopy
Databases

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Ginsberg, G. G., Al Kawas, F., Fleischer, D. E., Reilly, H. F., & Benjamin, S. B. (1996). Gastric polyps: Relationship of size and histology to cancer risk. American Journal of Gastroenterology, 91(4), 714-717.

Gastric polyps : Relationship of size and histology to cancer risk. / Ginsberg, Gregory G.; Al Kawas, Firas; Fleischer, David E.; Reilly, Harold F.; Benjamin, Stanley B.

In: American Journal of Gastroenterology, Vol. 91, No. 4, 04.1996, p. 714-717.

Research output: Contribution to journalArticle

Ginsberg, GG, Al Kawas, F, Fleischer, DE, Reilly, HF & Benjamin, SB 1996, 'Gastric polyps: Relationship of size and histology to cancer risk', American Journal of Gastroenterology, vol. 91, no. 4, pp. 714-717.
Ginsberg GG, Al Kawas F, Fleischer DE, Reilly HF, Benjamin SB. Gastric polyps: Relationship of size and histology to cancer risk. American Journal of Gastroenterology. 1996 Apr;91(4):714-717.
Ginsberg, Gregory G. ; Al Kawas, Firas ; Fleischer, David E. ; Reilly, Harold F. ; Benjamin, Stanley B. / Gastric polyps : Relationship of size and histology to cancer risk. In: American Journal of Gastroenterology. 1996 ; Vol. 91, No. 4. pp. 714-717.
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