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Gastric polyps
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136 b
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Gastric polyps are frequently discovered during upper GI endoscopy, and most often by chance. They are predominantly hyperplastic, followed by glandulocystic polyps. This 10-year retrospective study (2008-2017) included 86 patients with 141 polyps. The mean age was 58.1 years, predominantly female. Polyps were unique in 75.6% of cases, <5 mm in size in 48.9% and fundial in 59.6%. The majority were sessile (80%). Histological analysis revealed 55.9% hyperplastic polyps, 18.1% glandulocystic polyps, 5.5% adenomas and 3.1% neuroendocrine tumors. Hyperplastic polyps were associated with anemia, uniqueness and size ≥5 mm, with Helicobacter pylori infection in 61.2% of cases. Glandulocystic polyps were associated with prolonged PPI use, size <10 mm and non-antral location. No difference in evolution was observed between biopsied and resected polyps. Bleeding complications (3.9%) were associated with anticoagulants. Histological concordance was 95.3%.
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