eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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without publication fees
1/2024
vol. 19
 
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abstract:
Original paper

Gastric polyps: a retrospective cohort analysis of 23,668 endoscopies indicates changing epidemiological and phenotypic characteristics

Christina Kapizioni
1
,
Panagiotis Kourkoulis
1
,
Sofia Kartsoli
1
,
Georgios Koutoufaris
1
,
Panagiotis Giannelis
1
,
Aristotelis Mellos
1
,
Konstantia Milioni
1
,
George Michalopoulos
1
,
Spyridon Vrakas
1
,
Vasileios Xourgias
1

  1. Gastroenterology Department, Tzaneio General Hospital of Piraeus, Athens, Greece
Gastroenterology Rev 2024; 19 (1): 54–59
DOI: https://doi.org/10.5114/pg.2024.136236
Online publish date: 2024/03/11
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Introduction
To identify the epidemiologic characteristics of gastric polyps as well as changes of these parameters during a 15-year period.

Material and methods
We reviewed all the upper endoscopies archived in our database reporting a polypoid lesion from 2003 to 2018. Demographic data, indication for endoscopy, morphological characteristics of polyps, histology, and presence of Helicobacter pylori were collected. We compared the abovementioned data between 2 periods: 2003–2010 and 2010–2018.

Results
A total of 989 (4.2%) patients from 23,668 reviewed were identified to harbour a polypoid lesion. Mean patient age was 63.2 years, with 58.8% being female. Most polyps (65.2%) were less than 5 mm in diameter and located in the fundus. Hyperplastic polyps (HPs) were the predominant type (28.6%) while fundic gland polyps (FGPs) were found in 24.1% of patients. Adenomas were the least common type (2.7%). Other pathology was identified in 43.3%. Comparison between the 2 periods revealed a rise of FGPs against HPs with a concomitant shift of location from antrum to fundus and an increase in the number of polyps per patient.

Conclusions
FGPs and HPs were the most common polyps found in our cohort, with a change of their pattern during the 15 years. It is imperative to acknowledge the distinct characteristics of gastric polyps so as to properly assess the malignant potential that some of them, or their surrounding gastric mucosa, harbour.

keywords:

gastric polyp, hyperplastic polyp, fundic gland polyp, adenoma
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