A Case of Pyogenic Granuloma in the Stomach

Kogawa, Tetsuya; Koganei, Hiroyuki; Kayama, Hideyuki; Yamamura, Haruo; Yamamoto, Kazuo; Ikeuchi, Takao

doi:10.11641/pdensks.49.0_112

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…Complete excision is reportedly the optimal management for GI tract PG [4,29]. Endoscopic resection is the most favorable treatment for GI tract PG and has been reported in 63.33% of patients [3–7,10,12–19,21,23,24]. Only one patient developed perforation at the site of polypectomy and then underwent surgical repair; however, he recovered and was discharged 5 days later [23].…”

Section: Discussionmentioning

confidence: 99%

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Clinical and endoscopic features of gastric pyogenic granuloma

Lin

Hsieh

Hsu

et al. 2014

Adv in Digestive Medicine

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Background: Pyogenic granuloma (PG) is a polypoid form of capillary hemangioma. This study aimed to analyze the clinical and endoscopic features of gastric PG. Methods: We retrospectively reviewed nine patients with gastric PGs who were evaluated by esophagogastroduodenoscopy and diagnosed by pathological study at the Chang Gung Medical Center (Taoyuan, Taiwan) between 2000 and 2009. Demographic data, clinical presentations, endoscopic findings, treatment, and outcome were collected and analyzed. Results: The median age of the study patients was 62 years (range, 40e73 years) with a female preponderance. The most common symptom at presentation was overt gastrointestinal bleeding, followed by anemia and epigastralgia. Two patients were asymptomatic at diagnosis. The most common underlying diseases were liver cirrhosis [5 (56%) patients] and hypertension [5 (56%) patients]. Five (56%) cases of gastric PGs originated at the site of prior ulcer lesions. Most gastric PGs were solitary [7 (78%) patients] and located in the antrum [8 (89%) patients]. The gastric PGs typically appeared morphologically as smooth protruding hyperemic lesions with adherent white or yellow deposits. One patient received an endoscopic mucosal resection with complete excision of the lesion. Another patient received surgical intervention. Four gastric PG lesions were stationary or regressed with conservative management. Conclusion: Overt gastrointestinal bleeding was the most common clinical presentation in patients with gastric PG. Gastric ulcers were the most common precursors of PG with the antrum being the most frequent site involved. Gastric PGs were characteristically protruding hyperemic lesions with adherent exudates. Conservative treatment may be considered for

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Section: Discussionmentioning

confidence: 99%

“…Pyogenic granuloma is extremely rare in the alimentary tract, except in the oral cavity [3]. To date, only five case reports of gastric PG have been published [3–7]. The aim of the study is to evaluate the clinical presentations, endoscopic findings, treatment, and outcomes of gastric PG in our case series.…”

Section: Introductionmentioning

confidence: 99%

Clinical and endoscopic features of gastric pyogenic granuloma

Lin

Hsieh

Hsu

et al. 2014

Adv in Digestive Medicine

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“…To date, 12 cases of gastrointestinal pyogenic granuloma have been described in adults: 4 in the esophagus, 2 in the stomach, 5 in the small intestines and 1 in the colon. Morphologically, 9 have been pedunculated or semipedunculated, and 3 have been sessile (1,3,9‐14). Serban et al (15) reported their experience of colonic pyogenic granuloma in Romanian children.…”

Section: Discussionmentioning

confidence: 99%