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Case Report
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| Gastric outlet obstruction due to a giant antral polyp which have malignant transformation | ||||||
| Erkan Oymaci1, Ali Coskun1, Deniz Ucar1, Erdem Sari1, Nazif Erkan1, Mehmet Yildirim1, Hale Kizanoğlu2 | ||||||
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1MD, Department of General Surgery, Izmir Bozyaka Trainig and Research Hospital, Izmir, Turkey.
2MD, Izmir Bozyaka Trainig and Research Hospital, Department of Pathology, Izmir, Turkey. | ||||||
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| How to cite this article |
| Oymaci E, Coskun A, Ucar D, Sari E, Erkan N, Yildirim M, Kizanoglu H. Gastric outlet obstruction due to a giant antral polyp which have malignant transformation. International Journal of Case Reports and Images 2014;5(5):382–386. |
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Abstract
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Introduction:
Gastric polyps are seen 2–3% in all gastrointestinal endoscopic examinations. Hyperplastic polyps, the most common type of gastric polyps, are present 85–90% of cases. Giant villous tumors of the stomach are somewhat rare and the high incidence of malignant transformation of them requires prompt diagnosis. Giant gastric polyps can also cause gastrointestinal bleeding that leads to iron deficiency anemia or partial gastric outlet obstruction. All giant polyps must be resected endoscopically or surgically and still there are no marked guidelines for the optimal management of gastric polyps at the time of initial examination. The point to be taken into consideration for patients is the need for radical surgery or not.
Case Report: A 62-year-old male was admitted to our clinic with complaints of epigastric pain, nausea and vomiting. Upper gastrointestinal endoscopy revealed that 6x7 cm diameter pedunculated polypoid mass which obstruct the pyloric channel in the gastric antrum. The patient is treated by distal subtotal gastrectomy and gastroenterostomy. The histopathologic examination of the specimen confirmed the occurrence of adenocarcinoma. Conclusion: Giant hyperplastic gastric polyps are fairly uncommon. We presented a case of giant gastric polyp which have malignant transformation and cause gastric outlet obstruction that resected surgically in an attempt to add to the current literature. | |
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Keywords:
Gastric polyp, Villous adenoma, Obstruction, Surgery
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Author Contributions
Erkan Oymaci – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ali Coskun – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Deniz Ucar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Erdem Sari – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Nazif Erkan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Mehmet Yildirim – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Hale Kizanoğlu – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Erkan Oymaci et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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