Question:
Anyone had polyps in their pouch?
I have been having terrible pain in my pouch-ended up in ER. Had a scope done today and dr. found polyps He said that they aren't the cause of my pain. I found it rather odd to have polyps there. And to further complicate things he didn't find an ulcer.(and gallbladder has been removed)Any thoughts on this one? — Mona R. (posted on December 5, 2003)
December 4, 2003
http://www.ivillagehealth.com/experts/digestive/qas/0,,165975_172581,00.html?arrivalSA=1&cobrandRef=0&arrival_freqCap=1&pba=adid=6751728
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Here's an very interesting article from the above link:
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Ronen Arai ...Dr. Arai is Senior Fellow in Gastroenterology at the
University of Miami School of Medicine in Miami, Florida.
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Gastric polyps are small protrusions in the lining of the stomach, often
similar in appearance to the polyps found in the colon. It is not unusual
for people to have gastric polyps. In fact, such polyps are detected in up
to 25 percent of patients who undergo an upper endoscopy examination.
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The vast majority of gastric polyps are benign, with no potential to become
cancerous. The most common type, the hyperplastic polyp, is composed of
many tiny, dilated glands. Another benign polyp, the fundic gland polyp, is
also composed of glands and is typically found in the upper part of the
stomach (the fundus). A third type of benign gastric polyp is the
inflammatory polyp. This polyp, composed of enlarged cystic glands, is
often found at the point where the stomach has been connected to the small
intestine after a surgical procedure. There is a possible connection
between inflammatory polyps and the bacterium Helicobacter
pylori.<BR>
A rare type of polyp, the adenomatous polyp, is composed of glands that are
growing in a premalignant fashion. As is the case with many colon polyps,
adenomatous polyps can be a precursor to cancer. If an adenomatous polyp is
found in the stomach, it must be completely removed. <BR>
The problem with treating gastric polyps is that it is impossible for a
doctor to tell whether a polyp is benign or adenomatous simply by looking
at it through an endoscope. So, doctors generally remove all gastric
polyps, especially those that are larger than 1cm. In patients who have
many small polyps, doctors usually try to remove at least the five largest
ones.
Once the polyp is removed and the tissue is examined under the microscope,
the type can be determined. Only gastric polyps of the adenomatous variety
will need further endoscopic follow-up. Some experts also recommend
follow-up of benign hyperplastic polyps if they are large (greater than
1-2cm).
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