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Prolapsing Gastric Polyp Causing Intermittent Gastric Outlet Obstruction
Nik Ritza Kosai1, Hardip Singh Gendeh1, Abdul Rashid Norfaezan1
11 Department of Surgery and.
International Surgery
|January 13, 2015
Summary
Recurrent gastric polyps after H pylori eradication caused outlet obstruction. Surgical removal was effective for these large, potentially malignant polyps.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Gastric polyps are common incidental findings, often linked to inflammation or Helicobacter pylori (H pylori).
- Previous reviews focused on H pylori-associated single polyps, but recurrent multiple polyposis is rare.
Observation:
- A 70-year-old male presented with melena, anemia, and vomiting due to H pylori infection.
- Post-eradication, serial endoscopies revealed multiple benign hyperplastic gastric antral polyps, causing intermittent gastric outlet obstruction.
Findings:
- Histopathology confirmed benign hyperplastic lesions.
- A 4 cm pyloric mass was identified, with polyps prolapsing into the pyloric opening causing obstruction.
- Distal gastrectomy was performed due to polyp size, quantity, and malignancy risk.
Implications:
- Surgical excision is recommended for large, multiple gastric polyps with malignant potential.
- This case highlights a rare complication of recurrent polyposis post-H pylori treatment.
- Early detection and appropriate management are crucial for preventing complications like gastric outlet obstruction and neoplasia.
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