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Gastritis cystica polyposa.

A M Ozenç1, S Ruacan, O Aran

  • 1Department of Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Archives of Surgery (Chicago, Ill. : 1960)
|March 1, 1988
PubMed
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Gastritis cystica polyposa, a rare condition after peptic ulcer surgery, presents with gastrointestinal issues. Surgical intervention is often needed for diagnosis and treatment of these polyps.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Gastritis cystica polyposa (GCP) is a rare condition.
  • It typically occurs after gastric surgery, particularly gastroenteric anastomoses for peptic ulcer disease.

Purpose of the Study:

  • To describe the clinical presentation, diagnostic challenges, and management of Gastritis cystica polyposa.

Main Methods:

  • Retrospective review of five patients diagnosed with GCP.
  • Analysis of clinical symptoms, surgical history, endoscopic and radiologic findings, and treatment outcomes.

Main Results:

  • All patients had prior peptic ulcer surgery with gastroenteric anastomoses.
  • Common symptoms included abdominal pain, nausea, vomiting, and gastrointestinal bleeding.

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  • Lesions were located at the gastric side of the anastomosis, showing polypoid mucosal changes, hyperplasia, and cystic gland dilatation.
  • Radiologic and endoscopic findings were often inconclusive, necessitating surgery.

    • Conclusions:

    • Gastritis cystica polyposa requires surgical intervention for relief of obstruction and exclusion of malignancy.
    • Resection of the gastrojejunostomy site and techniques minimizing bile reflux are preferred treatments.