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Endoscopic Oncology pp 109–120Cite as

Gastric Polyps

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Abstract

Gastric polyps are a frequent incidental finding during endoscopy that occasionally present with bleeding, obstruction, or pain. The majority are non-neoplastic. The major epithelial polyps are fundic gland, hyperplastic, and adenomatous. Sporadic fundic gland polyps (FGPs) are benign and have no malignant potential. Hyperplastic and adenomatous polyps may arise in a background of Helicobacter pylori infection and have malignant potential; these should be endoscopically removed. Gastric polyps can also be seen as a manifestation of polyposis syndromes most notably familial adenomatous polyposis (FAP; FGPs and to a lesser degree adenomatous), Peutz Jegher’s syndrome (harmatomas), and juvenile polyposis (hamartomas). Patients with familial polyposis may be at an increased risk of gastric cancer, particularly those with Peutz-Jegher’s syndrome. Endoscopic polypectomy is safe and effective but carries a higher complication rate than polypectomy in the colon.

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Authors and Affiliations

  1. Division of Gastroenterology, Hospital of the University of Pennsylvania, Philadelphia, PA

    George A. Makar MD

  2. Division of Gastroenterology, Director of Endoscopic Services, University of Pennsylvania Health Systems, Philadelphia, PA

    Gregory G. Ginsberg MD (Professor of Medicine)

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Editors and Affiliations

  1. Oregon Health and Science University, Portland, OR

    Douglas O. Faigel MD, FACG, FASGE (Associate Professor of Medicine, Director of Endoscopy) (Associate Professor of Medicine, Director of Endoscopy)

  2. Hospital of the University of Pennsylvania, Philadelphia, PA

    Michael L. Kochman MD, FACP, FASGE (Professor of Medicine and Surgery, Co-Director Gastrointestinal Oncology) (Professor of Medicine and Surgery, Co-Director Gastrointestinal Oncology)

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Makar, G.A., Ginsberg, G.G. (2006). Gastric Polyps. In: Faigel, D.O., Kochman, M.L. (eds) Endoscopic Oncology. Humana Press. https://doi.org/10.1007/978-1-59745-172-7_10

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