Case report

Antral hyperplastic polyp causing intermittent gastric outlet obstruction: Case report

Rasim Gencosmanoglu¹ , Ebru Sen-Oran¹ , Ozlem Kurtkaya-Yapicier² and Nurdan Tozun³

¹  Department of Gastrointestinal Surgery, Marmara University Institute of Gastroenterology, Istanbul, Turkey

²  Department of Pathology, Marmara University School of Medicine, Istanbul, Turkey

³  Department of Gastroenterology, Marmara University Institute of Gastroenterology, Istanbul, Turkey

author email corresponding author email

BMC Gastroenterology 2003, 3:16doi:10.1186/1471-230X-3-16

Published:	27 June 2003

Abstract

Background

Hyperplastic polyps are the most common polypoid lesions of the stomach. Rarely, they cause gastric outlet obstruction by prolapsing through the pyloric channel, when they arise in the prepyloric antrum.

Case presentation

A 62-year-old woman presented with intermittent nausea and vomiting of 4 months duration. Upper gastrointestinal endoscopy revealed a 30 mm prepyloric sessile polyp causing intermittent gastric outlet obstruction. Following submucosal injection of diluted adrenaline solution, the polyp was removed with a snare. Multiple biopsies were taken from the greater curvature of the antrum and the corpus. Rapid urease test for Helicobacter pylori yielded a negative result. Histopathologic examination showed a hyperplastic polyp without any evidence of malignancy. Biopsies of the antrum and the corpus revealed gastritis with neither atrophic changes nor Helicobacter pylori infection. Follow-up endoscopy after a 12-week course of proton pomp inhibitor therapy showed a complete healing without any remnant tissue at the polypectomy site. The patient has been symptom-free during 8 months of follow-up.

Conclusions

Symptomatic gastric polyps should be removed preferentially when they are detected at the initial diagnostic endoscopy. Polypectomy not only provides tissue to determine the exact histopathologic type of the polyp, but also achieves radical treatment.