[A Case of Gastritis Cystica Polyposa That Developed Early after Distal Gastrectomy].

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  • Author(s): Koizumi N;Koizumi N; Kobayashi H; Takagi T; Fukumoto K
  • Source:
    Gan to kagaku ryoho. Cancer & chemotherapy [Gan To Kagaku Ryoho] 2015 Nov; Vol. 42 (12), pp. 2024-6.
  • Publication Type:
    Case Reports; Journal Article
  • Language:
    Japanese
  • Additional Information
    • Source:
      Publisher: Gan To Kagaku Ryohosha Country of Publication: Japan NLM ID: 7810034 Publication Model: Print Cited Medium: Print ISSN: 0385-0684 (Print) Linking ISSN: 03850684 NLM ISO Abbreviation: Gan To Kagaku Ryoho Subsets: MEDLINE
    • Publication Information:
      Publication: Tokyo : Gan To Kagaku Ryohosha
      Original Publication: Tōkyō, Gan to Kagaku Ryōhōsha [1974?]-
    • Subject Terms:
      Helicobacter pylori*; Adenomatous Polyps/*therapy ; Gastrectomy/*adverse effects ; Gastritis/*therapy ; Helicobacter Infections/*therapy ; Stomach Neoplasms/*therapy; Adenomatous Polyps/etiology ; Aged, 80 and over ; Gastritis/etiology ; Helicobacter Infections/complications ; Humans ; Male ; Stomach Neoplasms/etiology ; Tomography, X-Ray Computed
    • Abstract:
      We present a case of gastritis cystica polyposa (GCP) that developed early after laparoscopy-assisted distal gastrectomy with BillrothⅠreconstruction. GCP is a chronic inflammatory gastric mucosal lesion that emerges at an anastomotic site usually after a long post-gastrectomy period, which is mainly caused by constant chemical stimulation by duodenal juice. In addition, chronic mechanical stimulation caused by reflux or stasis of gastrointestinal contents may also trigger GCP. Surgeons should ensure a functional and physiologically patent anastomosis during surgery. Hypergastrinemia, caused by persistent Helicobacter pylori infection or continuing administration of proton pump inhibitors, may also contribute to the development of GCP, as GCP is a type of hyperplastic polyp. Therefore, appropriate postoperative follow-up, including pylorus eradication and avoidance of unnecessary administration of proton pump inhibitors, seems to be needed in order to prevent the development of GCP. In our case, many factors exhibited the multiplier effect, resulting in early development of GCP. As GCP also attracts much attention as a precancerous lesion, appropriate prevention and prompt treatment are required.
    • Subject Terms:
      Polyposis, Gastric
    • Publication Date:
      Date Created: 20160126 Date Completed: 20160401 Latest Revision: 20201209
    • Publication Date:
      20221213
    • Accession Number:
      26805252