A case of gastric hyperplastic polyp with spurting bleeding

The patient was a 67-year-old man with a history of cerebral infarction and clopidogrel use. Upper gastrointestinal endoscopy was performed to investigate the cause of his anemia imaging revealed multiple gastric hyperplastic polyps that were easily hemorrhagic. We diagnosed gastric hyperplastic polyps as the cause of anemia and planned to perform EMR. Endoscopy revealed a large amount of blood clots in the stomach and a 10 mm polyp with eruptive bleeding was found and resected by EMR. Bleeding from hyperplastic gastric polyps is often minimal, and severe bleeding, as in this case, is rare. In this case, clopidogrel therapy likely contributed to the increased bleeding susceptibility.

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Publication Details

Journal
Progress of Digestive Endoscopy
Published
2024-12-13
DOI
https://doi.org/10.11641/pde.105.1_69
Primary Topic
Gastrointestinal disorders and treatments
Type
article
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article

A case of gastric hyperplastic polyp with spurting bleeding

Shinji Sato, Seiichi Hara, Takahisa Matsuno, Takahisa Matsuda et al.
Progress of Digestive Endoscopy
Gastrointestinal disorders and treatments
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A case of gastric hyperplastic polyp with spurting bleeding

Shinji Sato, Seiichi Hara, Takahisa Matsuno, Takahisa Matsuda, Yuta Suzuki, Yoshikiyo Akasaka, Takeshi Baba, Shigeru Nakano, Masashi Miura, Yamato Ohara, Aya Hasegawa, Taiki Shishido, Zyunji Tanaka
article en

Abstract

The patient was a 67-year-old man with a history of cerebral infarction and clopidogrel use. Upper gastrointestinal endoscopy was performed to investigate the cause of his anemia imaging revealed multiple gastric hyperplastic polyps that were easily hemorrhagic. We diagnosed gastric hyperplastic polyps as the cause of anemia and planned to perform EMR. Endoscopy revealed a large amount of blood clots in the stomach and a 10 mm polyp with eruptive bleeding was found and resected by EMR. Bleeding from hyperplastic gastric polyps is often minimal, and severe bleeding, as in this case, is rare. In this case, clopidogrel therapy likely contributed to the increased bleeding susceptibility.

Progress of Digestive EndoscopyVol. 105(1)
Toho University (JP), Toho University Omori Medical Center (JP)
Zero hunger
Openalex Percentile: Top 56%
Gastrointestinal disorders and treatments
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