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The Old Endoscopy Quiz (and Answer) of the Month
October 2006

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Question:


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This young lady had been operated on a few years earlier as she had a familial adenomatosis coli. A colectomy was done and she was in a perfect health. This is the finding in the gastric corpus and fundus in a routine upper endoscopy follow up. These polyps - what are they, and should anything be done?

Answer:

    Gastric hyperplastic polyps in a patient with familial adenomatosis coli.

    Fundic gland polyps have the same apperance. These polyps do not have any malignant potential. However, these patients quite often have premalignant adenomas in their duodenum, so a regular follow up with upper endoscopy every two years is indicated.

Correct answers and comments were emailed by

    Christos Zavos, Thessaloniki, Greece
    Salvatore Della Ducata, Gallipoli, Italy
    Ervin Toth, Malmö, Sweden
    Dr Virendra Parikh, Fort Wayne, USA, Indiana
    Tania Tondolo, Como, Italy
    PARABOLI SILVA, Marcio Luiz, SAOJOSE DO RIO PRETO -SP-, BRAZIL
    Lavrentios Papalavrentios, Thessaloniki, Greece
    Klaudia Niepsuj, Gliwice, Poland
    Ellen Solms
    Pakize DEMİRKALEM,MD, Istanbul, Turkey
    Maciej Kosieradzki, Warsaw, Poland
    gamal shiha, Mansoura, Egypt

Beirut, Lebanon
    Zahreddine Radwan, Beirut, Lebanon
    Arber Veliu, Prishtina, Kosovo
    Curt Tysk, Orebro, Sweden
    Alighavidel, tabriz, Iran
    Jose Joaquin Ramirez, Xàtiva, Spain
    CHITRA, CHENNAI, INDIA/TAMILNADU
    corstiaa, The Netherlands
    Jill Roberts, Little Elm, TX, USA
    CELALETTİN CETİN, BURSA, TURKEY
    Vineetha Das, SALE, Victoria, Australia
    MARCUS HADDAD FILHO, RIO DE JANEIRO, BRASIL
    Luis Guillermo guerrero, Bogota, Colombia
    Peter Heiß, Leonberg, Germany
    Fernando Peres, Rio de Janeiro, Brazil
    Faith Lucas, South Bend, Indiana, USA
    Ilker Abci, Istanbul, Turkey
    Zlatko Bulic, Pula, Croatia
    Reza Alami, Gothenbourg, Sweden
    Robert Popkenb, Carvoeiro, Portugal
    isa, sumgait, azerbaijanian
    Jyrki Tillonen, Lahti, Finland
    huakailuo, Wuhan, China

    Comments:

      These polyps in FAP consisting of simple hyperplasia of the fundic glands. These polyps not have to be removed if no association with gastric cancer.

      Familial Adenomatous Polyposis. These polyps do not cause any symtoms and do not have to be removed and there is no association with gastric cancer.

      Poliposis mutiple familiar el plan es corregir primero la desnutricion y anememia posteriormente si no corrige tratamiento qx.

      Drüsenkörper Cysten (hyperplastische Polypen nach Elster)no treatment.

      Hyperplastic polyps. Regulary controll of polyps should be enouph in 2-3 years of period. But informing of patient to call back in any symotms of malena, eller other GI smtoms.

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