scholarly journals A Rare Complication of Hyperplastic Gastric Polyp

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Suresh Kumar Nayudu ◽  
Masooma Niazi ◽  
Bhavna Balar ◽  
Kavitha Kumbum
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Outlet Obstruction ◽  
American Woman ◽  
Gastric Polyp ◽  
Deficiency Anemia ◽  
Surgical Specimen ◽  
Gastric Polyps ◽  
Therapeutic Benefits ◽  
Upper Gastrointestinal

Hyperplastic gastric polyps are incidentally diagnosed during upper gastrointestinal endoscopy. They are known to cause gastric outlet obstruction and chronic blood loss leading to iron deficiency anemia. However, hyperplastic gastric polyp presenting as acute severe upper gastrointestinal bleeding is very rare. To the best of our knowledge, there have been two cases of hyperplastic gastric polyps presenting as acute gastrointestinal bleeding in the medical literature. We present a case of a 56-year-old African American woman who was admitted to our hospital with symptomatic anemia and sepsis. The patient developed acute upper gastrointestinal bleeding during her hospital stay. She underwent emergent endoscopy, but bleeding could not be controlled. She underwent emergent laparotomy and wedge resection to control the bleeding. Biopsy of surgical specimen was reported as hyperplastic gastric polyp. We recommend that physicians should be aware of this rare serious complication of hyperplastic gastric polyps as endoscopic polypectomy has diagnostic and therapeutic benefits in preventing future complications including bleeding.

scholarly journals Gastric Inflammatory Fibroid Polyp: A Rare Cause of Occult Upper Gastrointestinal Bleeding

2020 ◽  
Vol 8 ◽  
pp. 232470962093684
Author(s):  
Faisal Inayat ◽  
Asad Ur Rahman ◽  
Ahsan Wahab ◽  
Amir Riaz ◽  
Effa Zahid ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Gastrointestinal Bleeding ◽  
Iron Deficiency Anemia ◽  
Upper Gastrointestinal Bleeding ◽  
Therapeutic Modality ◽  
Deficiency Anemia ◽  
Resected Specimen ◽  
Fecal Occult Blood ◽  
Presenting Symptoms ◽  
Upper Gastrointestinal

Inflammatory fibroid polyps (IFPs) are rare mesenchymal lesions that can arise throughout the gastrointestinal tract. These tumors represent less than 0.1% of all gastric polypoid lesions and are frequently found incidentally on endoscopic evaluation. While presenting symptoms depend on the location of the tumor, gastric polyps commonly present with epigastric pain and early satiety. We hereby delineate the case of a middle-aged female who presented with chronic iron deficiency anemia and a positive fecal occult blood test. She underwent an upper endoscopy, which revealed an actively oozing umbilicated lesion in the gastric antrum. Endoscopic ultrasound divulged the submucosal origin of the lesion. It was subsequently excised using endoscopic mucosal resection. Pathologic examination of the resected specimen confirmed the diagnosis of gastric IFP. Furthermore, we conducted a systematic literature search of the MEDLINE database centered on gastric IFPs from January 2000 till March 2020. The data on patient demographics, clinical features, endoscopic findings, lesion site and size, and treatment approaches were collected and analyzed. This article illustrates the overarching need for clinicians to be vigilant of gastric IFPs presenting with initial clinical symptoms suggestive of occult upper gastrointestinal bleeding. Prompt diagnosis and management of gastric IFPs carry paramount importance to combat chronic unexplained iron deficiency anemia following occult bleeding in such patients. A concoction of endoscopy, biopsy, and immunohistochemical examination can be employed toward their prompt detection. Although gastric IFPs have conventionally been treated with surgery, endoscopic resection is now emerging as a safe and efficient therapeutic modality.

scholarly journals Profil Gambaran Endoskopi di Pusat Endoskopi KSM Ilmu Penyakit Dalam RSUP Prof. Dr. R. D. Kandou Periode Januari 2016 – Desember 2017

e-CliniC ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Fadil Dewantara ◽  
Bradley J. Waleleng ◽  
Octavianus Umboh
Keyword(s):  
Gastric Ulcer ◽  
Gastrointestinal Bleeding ◽  
Hiatal Hernia ◽  
Medical Records ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Bleeding ◽  
Gastric Polyp ◽  
Erosive Gastritis ◽  
Common Diagnosis ◽  
Upper Gastrointestinal

Abstract: Gastrointestinal endoscopy in the upper gastrointestinal tract is performed to obtain the condition of gastrointestinal mucosa. This study was aimed to obtain the profile of UGIB among endoscopy patients at the Gastrointestinal Endoscopy Center of Prof. Dr. R. D. Kandou Hospital Manado from January 2016 to December 2017. This was a descriptive retrospective study using medical records of patients who were registered at the Gastro-intestinal Endoscopy Center from January 2016 to December 2017. The result shows that from 420 cases, there were 7 diagnoses after endoscopy, as follows: esophagitis, gastritis, erosive gastritis, gastric ulcer, gastric polyp, duodenitis, and hiatal hernia. The most common diagnosis of UGIB was gastritis in 155 cases (37%), esophagitis in 124 cases (30%), duodenitis in 40 cases (10%), gastric polyp in 36 cases (9%), hiatal hernia in 22 cases (5%), erosive gastritis in 21 cases (4%), gastric ulcer in 17 cases (4%), and the other diagnoses (varices esophagus, esophagus ulcer, duodenum ulcer, achalasia) in 5 cases (1%). UGIB occured more common in males with 227 cases (54%) compared to female with 193 cases (46%). The most frequent age group was 56-65 years old with 86 cases, and the most rare case was >75 years old. Conclusion: Upper gastrointestinal bleeding occured more common among males, aged 56-65 years. Gastritis was the most common diagnosis in endoscopy.Keywords: endoscopy, upper gastrointestinal bleeding Abstrak: Pemeriksaan endoskopi pada saluran cerna bagian atas berfungsi untuk mengeva-luasi keadaan mukosa saluran cerna atas dan sekitarnya. Penelitian ini bertujuan untuk mendapatkan profil gambaran endoskopi di Pusat Endoskopi KSM Ilmu Penyakit Dalam RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2016 – Desember 2017. Jenis penelitian ialah deskriptif retroskpektif menggunakan data rekam medik pasien perdarahan SCBA yang melakukan pemeriksaan endoskopi periode Januari 2016 – Desember 2017. Hasil penelitian mendapatkan dari 420 kasus, ditemukan 7 diagnosis setelah tindakan endoskopi (EGD), yaitu esofagitis, gastritis, gastritis erosiva, gastric ulcer, polip gaster, duodenitis dan hernia hiatus. Diagnosis perdarahan SCBA terbanyak ialah gastritis 155 kasus (37%), esofagitis yaitu 124 kasus (30%), duodenitis 40 kasus (10%), polip gaster 36 kasus (9%), hiatus hernia 22 kasus (5%), gastritis erosiva 21 kasus (4%), gastric ulcer 17 kasus (4%), dan kasus dengan dignosis lainnya (varices esophagus, esophagus ulcer, duodenum ulcer, achalasia) sebanyak 5 kasus (1%). Perdarahan SCBA banyak terjadi pada pasien dengan jenis kelamin laki-laki berjumlah 227 pasien (54%) dibandingkan dengan pasien perempuan berjumlah 193 pasien (46%). Berdasarkan usia, terbanyak pada kelompok usia 56-65 tahun sebanyak 139 kasus dan terendah pada kelompok usia >75 tahun. Simpulan: Perdarahan SCBA lebih sering terjadi pada laki-laki, kelompok usia 56-65 tahun, dengan gastritis sebagai diagnosis terbanyak pada pasien perdarahan SCBA yang melakukan pemeriksaan endoskopi.Kata kunci: endoskopi (EGD), perdarahan SCBA

scholarly journals Gastric Siderosis and Ulceration from Intravenous Iron Supplementation Manifesting as Chronic Upper Gastrointestinal Bleeding: A Case Report and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Donald Ewing ◽  
Ava Brozovich ◽  
Ethan Burns ◽  
Gonzalo Acosta ◽  
Courtney Hatcher ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Blood Cell ◽  
Gastrointestinal Bleeding ◽  
Iron Supplementation ◽  
Upper Gastrointestinal Bleeding ◽  
Intravenous Iron ◽  
Deficiency Anemia ◽  
Red Blood Cell Transfusions ◽  
Upper Gastrointestinal ◽  
Intravenous Iron Supplementation

Iron deficiency is the most common etiology of anemia worldwide and is often managed with varying methods of iron supplementation. Although rare, oral iron supplementation can perpetuate iron deficiency anemia by causing gastric ulceration and upper gastrointestinal bleeding in high-risk populations. However, this complication has not been previously described with intravenous iron supplementation. We present a case of a 63-year-old male with severe iron deficiency anemia on biweekly intravenous iron infusions and weekly packed red blood cell transfusions who presented with melena over several months. Upper endoscopy demonstrated a clean-based gastric body ulcer and nonbleeding gastric varices. Histology of the gastric ulcer was suggestive of iron-induced gastric mucosal injury. This case demonstrates that frequent utilization of intravenous iron and packed red blood cell transfusions may predispose certain patients to the development of iron-induced gastritis and ulceration.

Acute on chronic gastrointestinal bleeding: a unique clinical entity

2017 ◽  
Vol 65 (5) ◽  
pp. 892-898 ◽  
Author(s):  
Don C Rockey ◽  
Adam C Hafemeister ◽  
Joan S Reisch
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Distinct Type ◽  
University Hospital ◽  
Deficiency Anemia ◽  
Acute Bleeding ◽  
Colon And Rectum ◽  
Upper Gastrointestinal ◽  
Chronic Gastrointestinal Bleeding

Gastrointestinal bleeding is defined in temporal–spatial terms—as acute or chronic, and/or by its location in the gastrointestinal tract. Here, we define a distinct type of bleeding, which we have coined ‘acute on chronic’ gastrointestinal bleeding. We prospectively identified all patients who underwent endoscopic evaluation for any form of gastrointestinal bleeding at a University Hospital. Acute on chronic bleeding was defined as the presence of new symptoms or signs of acute bleeding in the setting of chronic bleeding, documented as iron deficiency anemia. Bleeding lesions were categorized using previously established criteria. We identified a total of 776, 254, and 430 patients with acute, chronic, or acute on chronic bleeding, respectively. In patients with acute on chronic gastrointestinal bleeding, lesions were most commonly identified in esophagus (28%), colon and rectum (27%), and stomach (21%) (p<0.0001 vs locations for acute or chronic bleeding). In those specifically with acute on chronic upper gastrointestinal bleeding (n=260), bleeding was most commonly due to portal hypertensive lesions, identified in 47% of subjects compared with 29% of acute and 25% of chronic bleeders, (p<0.001). In all patients with acute on chronic bleeding, 30-day mortality was less than that after acute bleeding alone (2% (10/430) vs 7% (54/776), respectively, p<0.001). Acute on chronic gastrointestinal bleeding is common, and in patients with upper gastrointestinal bleeding was most often a result of portal hypertensive upper gastrointestinal tract pathology. Reduced mortality in patients with acute on chronic gastrointestinal bleeding compared with those with acute bleeding raises the possibility of an adaptive response.

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