Management of symptomatic hamartomatous polyps in stomach: Analysis of a single center experience

Jung-Chun Lin, Tien-Yu Huang, Yu-Lueng Shih, Yi-Ming Chang, Heng-Cheng Chu, Wei-Kuo Chang, Tsai-Yuan Hsieh, Peng-Jen Chen

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3 Citations (Scopus)

Abstract

Background: No consensus has been reached on the management of gastric hamartomatous polyps, owing to a lack of knowledge of the long-term outcome of after removal of these polyps. Methods: A retrospective database review was performed in a tertiary referral hospital between 1995 and 2011. Thirty-two consecutive patients who were diagnosed with gastric hamartomatous polyps were managed by surgical or endoscopic resection. Results: Patients developed the disease predominantly in their seventh and eighth decades of life. The tumors were located mostly in the antrum, and the diameter ranged from 5 to 52 mm. In one patient, adenocarcinoma in situ accompanied by gastric hamartomatous polyp was diagnosed by pathologic examination after endoscopic mucosal resection (EMR).There were no significant differences in the rates of technical success, treatment success, complications, or recurrence between surgery and endoscopic excision. The endoscopic excision group had a shorter mean post procedure hospital stay than the surgery group (7.2 vs. 21.4 days, P = 0.002). Conclusions: Endoscoipic resection for gastric hamartomatous polyps is an effective procedure and a less-invasive alternative to surgery. © 2013 JMS.
Original languageEnglish
Pages (from-to)29-36
Number of pages8
JournalJournal of Medical Sciences (Taiwan)
Volume33
Issue number1
DOIs
Publication statusPublished - 2013
Externally publishedYes

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Keywords

  • Endoscopic resection
  • Gastric polyp
  • Hamartomatous polyp
  • adult
  • aged
  • article
  • clinical article
  • clinical effectiveness
  • endoscopic surgery
  • female
  • follow up
  • gastric hamartomatous polyp
  • human
  • intermethod comparison
  • length of stay
  • male
  • postoperative hemorrhage
  • retrospective study
  • stomach adenocarcinoma
  • stomach perforation
  • stomach polyp
  • stomach surgery
  • treatment outcome
  • tumor localization
  • urinary tract infection

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