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- Title
MANAGEMENT OF RECURRENT COLONIC AND GASTRIC POLYPS WITHOUT FAMILIAR POLYPOSIS- CASE REPORT.
- Authors
Szakacs, Kinga Hajnal; Enache, Anne-Marie; Szilagyi, Imola; Szodorai, Rita; Pantea, Cristina Monica; Bățagă, Simona
- Abstract
Background: The polyps are an overgrowth of the intestinal mucosa with or without a familiar background (associated with Antigen Presenting Cell mutation) dominantly (50%) localized in the rectum. Focused on the pathogenesis and histopathology reports more commons are the adenomas, with an increased risk (70-80%) of developing a malignant tumor. Objective: To highlight the importance of colonic or gastric polyposis treatment, to prevent the appearance of carcinoma. Materials and methods: A 74 years old male, admitted to the Vâlcea Clinical Hospital with acute upper gastrointestinal bleeding begins two days before of a schedule for a cholecystectomy. They proceeded with gastroscopy and identified a stomach filled with gastric polyps without a familiar background. In the meantime, the symptoms of the patient got worse and they transfer him to our hospital. With an emergency endoloop assisted gastroscopy, we confirm the diagnosis, and proceed with resection in two different gastroscopy sessions of six giant polyps with the installation of clips. After two months we extracted five polyps than we did a colonoscopy which indicated the presence of five colonic polyps, for that we did interventions during five months after the patient's first admission. Results: The CT did not indicate the presence of malignancy and the histopathological results revealed tubular adenomas, hyperplasic polyps and tubulovillous adenoma with high-grade dysplasia. For now, the patient is polyp free. Conclusions: Sometimes we have patients with many polyps without familiar polyposis and we need to manage it correctly to save the patient from the appearance of colorectal carcinoma.
- Subjects
ANTIGEN presenting cells; GASTROINTESTINAL hemorrhage; ADENOMATOUS polyps; COLON polyps; INTESTINAL mucosa; CANCER
- Publication
Acta Medica Marisiensis, 2019, Vol 65, p45
- ISSN
2068-3324
- Publication type
Article