Agreement Between Different Pathologists in Histopathologic Diagnosis of 128 Gastric Polyps

Barbosa, Sergio Henrique Brito; Filho, Geraldo Cezário de Lázaro; Franco, Luciano Monteiro; Valença, José Telmo; Souza, Miguel Angelo N.; Souza, Marcellus H.

doi:10.1590/s0004-2803.201700000-29

Cited by 5 publications

(5 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8). Gastroscopy, a common technique used for upper gastrointestinal tract examination, is considered the gold standard for diagnosing and treating upper gastrointestinal diseases [13]. The fear and discomfort resulting from gastroscopic stimulation of the larynx during awake or local anesthesia procedures may potentially precipitate cardiovascular events or patient noncompliance with the examination [14,15].…”

Section: The Incidence Of Acute Laryngitis Varied Across Different Pe...mentioning

confidence: 99%

Timing and Depth Selection for Sedated Gastroscopy After SARS-CoV-2 Infection—A Retrospective Cohort Study

Yu,

Ji,

Wang

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Sedated gastroscopy is a crucial procedure for patients with upper respiratory infections. SARS-CoV-2-infected patients are more susceptible to anesthesia-related complications, such as edema, pharyngeal mucosa congestion, laryngospasm, and pulmonary infections. Methods We retrospectively analyzed a total of 386 patients who underwent sedated gastroscopy at the Affiliated Hospital of Qingdao University during the SARS-CoV-2 infection period. The patients were divided into three groups based on SARS-CoV-2 status: Negative (N), Two-week post-SARS-CoV-2 infection (T), and Three-week post-SARS-CoV-2 infection (Th) groups. Based on the anesthesia method, patients were divided into mild/moderate sedation and deep sedation/general anesthesia groups. Additionally, patients were categorized into groups based on COVID-19 severity and vaccination status. We recorded the laryngeal mucosal conditions, the occurrence rates of adverse reactions such as coughing, laryngospasm, and transient oxygen desaturation during the examination, as well as the satisfaction of patients and endoscopists were recorded. Results The T group displayed a significantly higher occurrence rate of adverse reactions when compared to the N and Th group, with decreased satisfaction levels of patients and endoscopists. In the T group, the occurrence rate of adverse reactions was higher in mild to moderate sedation than in deep sedation/general anesthesia methods, while patient and endoscopist satisfaction was lower. In the Th group, there was no statistically significant difference in the examination success rate or patient satisfaction between the mild/moderate sedation and deep sedation/general anesthesia methods; however, endoscopist satisfaction was lower with mild/moderate sedation method than deep sedation/general anesthesia method. There was a significant difference in the gastroscopy success rates of patients with different COVID-19 classifications. A significant difference was observed in the gastroscopy success rates among patients with different vaccination statuses. Conclusions Sedated gastroscopy post-three weeks of SARS-CoV-2 infection is safe. Moreover, using a deep sedation/general anesthesia method for sedated gastroscopy in SARS-CoV-2-infected patients within three weeks is significantly safer.

show abstract

Section: The Incidence Of Acute Laryngitis Varied Across Different Pe...mentioning

confidence: 99%

Timing and Depth Selection for Sedated Gastroscopy After SARS-CoV-2 Infection—A Retrospective Cohort Study

Yu,

Ji,

Wang

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…5,6 Large polyps can manifest in severe symptoms like abdominal pain, gastrointestinal bleeding, anemia and obstruction. 7,8 Histopathological examination will show type of polyps and asses risk factors to develop malignancy such as presence of dysplasia. 8 At present, there is substance known to have impact that can cause pathological change in gastric mucosa, related to the development of FGP.…”

Section: Kata Kunci: Polip Gaster Fundic Gland Polyp (Fgp) Proton-pum...mentioning

confidence: 99%

“…Mean while in Greece, one third of cases were shown to be hyperplactic polyps. 7,8 Fundic gland polyps are characterized by oxyntic causing foveolar to shorten and even disappear. The gland is cystic and irregular, lined with parietal, chief cells and mucous neck cells.…”

Section: Kata Kunci: Polip Gaster Fundic Gland Polyp (Fgp) Proton-pum...mentioning

confidence: 99%

Clinicomorphological Profile of Gastric Polyps in Anatomical Pathology Department, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital (CMH): A Retrospective Study in Correlation of Long-Term Use of Proton-Pump Inhibitors

Sufangga

Rahadiani

Krisnuhoni

et al. 2020

InaJGHE

View full text Add to dashboard Cite

Background: Gastric polyps are mucosal elevation into the lumen, found incidentally during endoscopic examination and generally brings no specific symptoms. Long-term use of proton-pump inhibitors (PPIs) is related to the development of the fundic gland polyp (FGP). This retrospective study was conducted to determine the distribution of gastric polyps in CiptoMangunkusumo Hospital along with histomorphological features and their relation with long-term PPI use.Method: This retrospective review is a descriptive analytic study. Gastric polyp cases were taken consecutively from the archive of the Anatomical Pathology Department, Faculty of Medicine Universitas Indonesia/CiptoMangunkusumo Hospital the period of 2016-2017. Clinical data obtained from patient’s medical records. Statistical analysis was carried out with the IBM ® SPSS version 23 program.Results: Among 83 cases of gastric polyps, there were 66 cases of FGP, 11 cases of inflammatory polyps, 5 cases of hyperplastic polyps, and 1 case of Peutz-Jegher polyp. Long term PPI was used in 40 cases and was related with parietal cell hyperplasia.Conclusion: FGP is the most common type of gastric polyp in the Department of Anatomical Pathology CMH. Long term PPI use was found in half of gastric polyps and was related to parietal cell hyperplasia morphology.

show abstract

“…Gastric polyps are usually discovered incidentally during esophagogastroduodenoscopies (EGD) and their prevalence is estimated from 0.5 to 23% of all upper gastrointestinal endoscopies [ 2 ]. Some polyps can occasionally present with bleeding, anemia, or gastric outlet obstruction [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Gastric polyps: a 10-year analysis of 18,496 upper endoscopies

et al. 2022

View full text Add to dashboard Cite

Background/aims Gastric polyps (GPs) are usually asymptomatic lesions of the upper gastrointestinal tract observed in 1–3% of esophagogastroduodenoscopies (EGD). Most GPs are benign. The aim of this study was to precise the frequency of different types of gastric polyps in our population, and to analyze their possible association with other factors. Materials and methods A total of 18,496 consecutive patients undergoing EGD over a 10-year period (between 2007 and 2018) in a tertiary hospital were retrospectively reviewed. Eighty-six patients diagnosed with gastric polyps were analysed. Demographics, medical history of the patients, and indication for gastroscopy were collected. Morphological, histological characteristics of polyps, and therapeutic management data were also collected. Results GPs were found in 86 out of 18,496 (0.46%) reviewed EGD, corresponding to a total of 141 polyps. There were 64 female (74.4%) and 22 male patients (25.6%) with a sex ratio (M/F) of 0.34. The average age was 58.1 years. One hundred and forty one polyps were included, and histopathology was obtained on 127 GPs. The most common location was the fundus (59.6%) and 48.9% were smaller than 5 mm. The polyp was unique in 75.6% of cases. According to Paris classification, 80% of the polyps were sessile (Is). Hyperplastic polyps were the most common (55.9%), followed by sporadic fundic gland polyps observed in 23 patients (18.1%), 7 (5.5%) were adenomas and 4 (3.1%) were neuroendocrine tumors type 1. The following factors were associated with hyperplastic polyps: anemia (p = 0.022), single polyp (p = 0.025) and size ≥ 5 mm (p = 0.048). Comparing hyperplastic polyps’ biopsies to resected polyps, no difference was found in the evolutionary profile of the 2 groups. A size less than 10 mm (p = 0.013) was associated with fundic gland polyps. Sixty polyps (47.2%) were treated by cold forceps, 19 (15%) treated by a mucosal resection and 15 (11.8%) with diathermic snare. Five procedural bleeding incidents were observed (3.9%). Only the use of anticoagulant treatment was associated with a high bleeding risk (p = 0.005). The comparative histological study between specimens of biopsied GPs and endoscopic polypectomy led to an overall agreement of 95.3%. Conclusion In our study, the GPs frequency was 0.36%. Hyperplastic polyps and fundic gland are the most common in our country. The high frequency of Helicobacter pylori infection in our patients and in our area may explain the high frequency of HP.

show abstract

Agreement Between Different Pathologists in Histopathologic Diagnosis of 128 Gastric Polyps

Cited by 5 publications

References 13 publications

Timing and Depth Selection for Sedated Gastroscopy After SARS-CoV-2 Infection—A Retrospective Cohort Study

Timing and Depth Selection for Sedated Gastroscopy After SARS-CoV-2 Infection—A Retrospective Cohort Study

Clinicomorphological Profile of Gastric Polyps in Anatomical Pathology Department, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital (CMH): A Retrospective Study in Correlation of Long-Term Use of Proton-Pump Inhibitors

Gastric polyps: a 10-year analysis of 18,496 upper endoscopies

Contact Info

Product

Resources

About