Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 14: A 45-Year-Old Alcoholic Was Admitted With Abdominal Pain, Coffee Ground Emesis, And Mild Anemia. Upper Endoscopy Shows A Few Polypoid Masses In The Gastric Body And Pigmentations In The Antrum. What Should I Do? (continued)

Sooraj Tejaswi, MD, MSPH

Gastric polyps are encountered incidentally in approximately 6% of esophagogastroduodenoscopies in the United States.1 By definition, gastric polyp implies an epithelial polyp, and includes fundic gland polyps, hyperplastic polyps, and adenomas, in order of decreasing prevalence. Fundic gland polyp has now become the most common type of gastric polyp in the United States due to widespread use of proton pump inhibitors (PPIs) and low prevalence of Helicobacter pylori infection.1 Usually seen in the gastric body and fundus, they are small (< .05 cm), sessile, and have a…
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