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Endoscopic evaluation of gastric inflammatory fibroid polyp

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Abstract

Clinical and endoscopic manifestations of 18 gastric inflammatory fibroid polyps (IFP) in 16 patients who underwent endoscopic or surgical removal were retrospectively analyzed. All of the lesions were located within the pyloric antrum, and the sizes varied from 0.8 to 7.0 cm. On endoscopy, six polyps which measured 1.0 cm or less uniformly seemed to be sessile or intramural tumors, whereas four of the nine polyps between 1.1 and 2.0 cm in size were additionally accompanied by a central depression. The remaining three, which measured more than 2.0 cm, showed characteristic polypoid growth with ulcerations. Three polyps more than 1.0 cm in size occasionally prolapsed into the duodenal bulb. Three patients with these prolapsing polyps and two with polyps accompanied by ulcerations experienced abdominal pain, nausea, or severe anemia. Two polyps (11%) were precisely diagnosed as IFP by means of conventional forceps biopsy. Histological examinations revealed that all of the polyps proliferated within the submucosa. Therefore, this type of polyp may be subject to endoscopic removal to enable a precise diagnosis and treatment.

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References

  1. Banik S, Temple JG (1979) Inflammatory fibroid polyp of the stomach. Br J Clin Pract 33: 178–181

    Google Scholar 

  2. Blackshaw AJ, Levison DA (1986) Eosinophilic infiltrates of the gastrointestinal tract. J Clin Pathol 39: 1–7

    Google Scholar 

  3. Enjoji M, Kaieda O, Inoshima Y (1967) Inflammatory fibroid polyp (eosinophilic granuloma) of the stomach. Acta Med Univ Kagoshima 9: 1–8

    Google Scholar 

  4. Goldman R, Friedman NB (1976) Neurogenic nature of socalled inflammatory fibroid polyps of the stomach. Cancer 20: 134–143

    Google Scholar 

  5. Harned RK, Buck JL, Shekitka KM (1992) Inflammatory fibroid polyps of the gastrointestinal tract: radiologic evaluation. Radiology 182: 863–866

    Google Scholar 

  6. Helwig EB, Ranier A (1953) Inflammatory fibroid polyps of the stomach. Surg Gynecol Obstet 96: 355–367

    Google Scholar 

  7. Ishikawa K, Shimazu H, Kobori O, Kino I (1972) Inflammatory pseudotumor of the stomach. Jpn J Cancer Clin 18: 773–785

    Google Scholar 

  8. Ishikura H, Sato F, Naka A, Kodama T, Aizawa M (1986) Inflammatory fibroid polyp of the stomach. Acta Pathol Jpn 36: 327–335

    Google Scholar 

  9. Johnstone JM, Morson BC (1978) Inflammatory fibroid polyp of the gastrointestinal tract. Histopathology 2: 349–361

    Google Scholar 

  10. Kim YI, Kim WH (1988) Inflammatory fibroid polyps of the gastrointestinal tract: evolution of histologic patterns. Am J Clin Pathol 89: 721–727

    Google Scholar 

  11. Mori M, Tamura S, Enjoji M, Sugimachi K (1988) Concomitant presence of inflammatory fibroid polyp and carcinoma or adenoma in the stomach. Arch Pathol Lab Med 112: 829–832

    Google Scholar 

  12. Nambu T, Watanabe H, Enjoji M (1979) Inflammatory fibroid polyp of the stomach: a histological study of 40 cases. Fukuoka Acta Med 70: 721–731

    Google Scholar 

  13. Navas-Palacios JJ, Colina-Ruizdelgado F, Sanchez-Larrea MD, Cortes-Cansino J (1983) Inflammatory fibroid polyps of the gastrointestinal tract: an immunohistochemical and electron microscopic study. Cancer 51: 1682–1690

    Google Scholar 

  14. Sauter KE, Pession BJ (1962) Intermittent pyloric obstruction due to prolapse of an inflammatory fibroid polyp of the stomach. Wis Med J 61: 175–180

    Google Scholar 

  15. Schroeder BA, Wells RG, Sty JR (1987) Inflammatory fibroid polyp of the stomach in a child. Pediatr Radiol 17: 71–72

    Google Scholar 

  16. Stolte M, Finkenzeller G (1990) Inflammatory fibroid polyp of the stomach. Endoscopy 22: 203–207

    Google Scholar 

  17. Tada S, Iida M, Yao T, Matsui T, Kuwano Y, Hasuda S, Fujishima M (1991) Endoscopic removal of inflammatory fibroid polyps of the stomach. Am J Gastroenterol 86: 1247–1250

    Google Scholar 

  18. Trillo AA, Rowden G (1991) The histiogenesis of inflammatory fibroid polyps of the gastrointestinal tract. Histopathology 19: 431–436

    Google Scholar 

  19. Vanek J (1949) Gastric submucosal granuloma with eosinophilic infiltration. Am J Pathol 25: 397–411

    Google Scholar 

  20. Yasuda K, Nakajima M, Yoshida S, Kiyota K, Kawai K (1989) The diagnosis of submucosal tumors of the stomach by endoscopic ultrasonography. Gastrointest Endosc 35: 10–15

    Google Scholar 

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Authors and Affiliations

  1. Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Maidashi 3-1-1, 812, Fukuoka, Japan

    K. Hizawa, M. Iida, S. Tada, Y. Kuwano & M. Fujishima

  2. Division of Gastroenterology, Matsuyama Red Cross Hospital, Ehime, Japan

    T. Fuchigami

  3. Second Department of Pathology, Faculty of Medicine, Kyushu University, Maidashi 3-1-1, 812, Fukuoka, Japan

    T. Yao

Authors
  1. K. Hizawa
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  2. M. Iida
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  3. S. Tada
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  4. T. Fuchigami
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  5. Y. Kuwano
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  6. T. Yao
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  7. M. Fujishima
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Hizawa, K., Iida, M., Tada, S. et al. Endoscopic evaluation of gastric inflammatory fibroid polyp. Surg Endosc 9, 397–400 (1995). https://doi.org/10.1007/BF00187158

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  • DOI: https://doi.org/10.1007/BF00187158

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