Hyperplastic Gastric Polyps: about 74 Cases

Aims Hyerplastic polyps are among the most common gastric polyps. They are most commonly associated with chronic gastritis (Helicobacter pylori or autoimmune-induced). The aim of this work is to study the clinical, endoscopic and histopathological aspects of hyperplastic gastric polyps.

Methods This was a retrospective study including 74 cases of hyperplastic gastric polyps between 2008 and 2019. Clinical, endoscopic and histological data have been reported.

Results Our serie included 74 cases of hyperplasic gastric polyps in 53 patients. The average age was 63 (range 19-82). Upper endoscopy was motivated predominantly by the exploration of epigastralgia in 53 % (n = 28) and iron deficiency anemia in 25 % (n = 13). The average size of polyps was 8.1 mm (3 to 35 mm). Polyps were centimetric or supra centimetric in 32 % of cases (n = 24) .Polyps were sessile in 85 % of cases (n = 63). The site of polyps was the antrum in 54 %, the fundus in 34 % and bifocal in 12 %. Histologically, associated gastritis was found in 100 % of cases. The presence of Helicobacter pylori was noted in 82 % of cases. Eigth patients had fundal atrophy (15 %). There were lesions of intestinal metaplasia in 20 patients (37 %), and endocrine hyperplasia in 7 patients (13 %). Only two polyps had low-grade dysplastic lesions (3 %). They measured 20 et 35 mm.

Conclusions The management of hyperplastic polyps remains controversial. It is important to treat the underlying lesion which is often represented by helicobacter pylori gastritis. The prevalence of dysplasia was 3 % in our serie.

Citation: Bradai S, Khsiba A, Mahmoudi M et al. eP162 HYPERPLASTIC GASTRIC POLYPS: ABOUT 74 CASES. Endoscopy 2021; 53: S149.

Publication History

Article published online:
19 March 2021