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Gastric hyperplastic polyps causing upper gastrointestinal hemorrhage in a young adult

查看全文 作　　者：Brian J [1]Secemsky;Kenika R [2]Robinson;Kumar [3]Krishnan;Kristina A [4]Matkowskyj;Barbara H [3]Jung 高影响力作者 机构地区：[1]Department of Internal Medicine, University of California-San Francisco, San Francisco, CA 94122, United States;[2]Department of Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States;[3]Department of Internal Medicine, Section of Gastroenterology and Hepatology, North-western University Feinberg School of Medicine, Chicago, IL 60611, United States;[4]Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI 53792, United States高影响力机构 出　　处：《World Journal of Clinical Cases》索引2013年第1卷第1期,共3页高影响力期刊 摘　　要：Here, we report a case of a young man who presented with a significant upper gastrointestinal bleed treated by endoscopic removal of multiple hyperplastic polyps. Gastric hyperplastic polyps are a relatively uncommon cause of overt gastrointestinal bleeding. While most hyperplastic gastric polyps are asymptomatic, they may present with abdominal pain, iron def iciency anemia or gastric outlet obstruction. These polyps are associated with conditions such as Helicobacter pylori gastritis and atrophic autoimmune gastritis, which predispose the epithelium to chronic inf lammation and epithelial repair.The patient presented to Northwestern Memorial Hospital in July 2011. The polyps were resected by clip-assisted snare polypectomy. Histopathologic assessment of the resected polyps demonstrated multiple, nonulcerative hyperplastic polyps measuring 1.3-1.8 cm in size, without evidence of dysplasia or malignancy. This case describes a young adult patient with multiple, large gastric polyps causing overt gastrointestinal bleeding. This is a rare presentation in a young individual, as these polyps are typically identifi ed in patients older than 60 years of age and less commonly, pediatric populations. 关 键 词：GASTROINTESTINAL HEMORRHAGE Hyperplastic POLYPS ENDOSCOPY POLYP Therapeutic ENDOSCOPY
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