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2006, Number 1

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Anales de Radiología México 2006; 5 (1)

Gastrointestinal tract polipoid injuries, pit of the anus

Cano MI, Rosas CCA, Vázquez NJD

Language: Spanish
References: 35
Page: 47-66
PDF size: 616.09 Kb.


ABSTRACT

Introduction: Any lesion that elevates the gastrointestinal tract mucous membrane surface and protrudes to the lumen is defined as a polyp. Those from the gastrointestinal tract and associated syndromes form a complex group of alterations with a wide difference in their clinical and pathological presentation.
Objectives: To investigate the incidence and presentation of polypoid lesions in patients from the Hospital San José-Tec de Monterrey in a 15 years period.
Material and method: 258 patients with polyps diagnosis were studied. To complement these lesions diagnosis imaging methods were investigated.
Results: Different values for anatomic area, age group were obtained, resulting among others, 10 oesophageal polyps and 49 gastric ones. Among the pathological finds simple polyps in the esophagus stand out, hyperplasic in the stomach, adenomatous in the duodenum, there were cases of youth polyposis and family kind in the rectum.
Analysis: The benign esophagus lesions constitute close to 20% of all neoplasias.
Conclusions: The endoscopy is considered the gold standard, lesions less than 1 cm can be evaluated by this method. The endoscopic visualization of these lesions can be followed up by a polypectomy as treatment.


REFERENCES

  1. Ming SC. Tumors of the esophagus and stomach. In: Atlas of Tumor Pathology. Fascicle 7. Washington, DC: Armed Forces Institute of Pathology; 1973, 16-23.

  2. Napalkov NP, Pozharisski KM. Morphogenesis of experimental tumors of the esophagus. J Natl Cancer Inst 1969; 42: 927-33.

  3. Sandvick AK, Aase S, Kveberg KH, et al. Papilomatosis or the esophagus. J Clin Gastroenterol 1996; 22: 35-37.

  4. Montesi A, Alessandro P, Graziani L, et al. Small benign tumors of the esophagus; Radiologic diagnosis with double contrast examination. Gastrointestinal Radiol 1983; 8: 207-12.

  5. Walker JH. Giant papiloma of the thoracic esophagus. AJR 1978; 131: 519-20.

  6. Bleshman MH, Banner MP, Thompson RC, et al. The inflammatory esophagogastric polyp and fold. Radiology 1978; 128: 589-93.

  7. Ghanhermani GG, Fisher MR, Ruchovich AM. Prolapsing inflammatory pseudopolyp-fold complex of the esophagogastric region. Eur J Radiol 1984; 4: 47-51.

  8. Patel J, Kieffer RW, Martin M. et al. Giant fibrovascular polyp of the esophagus. Gastroenterology 1984; 87: 953-6.

  9. Watanabe H, Jass JR, Sobin LH. World Health Organization: Histological Typing of Oesophageal and Gastric Tumors. 2a. ed. Berlin. Springer-Verlag 1990.

  10. Levine MS, Buck JL, Pantongrag-Brown L, et al. Fibro vascular polyps of the esophagus; clinical, radiographic, and pathologic findings in 16 patients. AJR 1996; 166: 781-7.

  11. Cochet B, Hohl P, Sans M, et al. Asphyxia caused by laryngeal impaction of an esophageal polyp. Arch Otolaryngology 1980; 106: 176-8.

  12. Carter NM, Kulkarni MV. Giant fibrovascular polyp of the esophagus. Gastrointest Radiol 1984; 9: 301-3.

  13. Whitman GJ, Borbkowski GP, Giant fibrovascular polyp of the esophagus; CT and MR findings. AJR 1989; 152: 518-20.

  14. Shah B, Unger L, Heimlich HJ. Hamartomatous polyp or the esophagus. Arch Surg 1975; 110: 326-8.

  15. Hauser H, Ody B, Plojoux O, et al. Radiological findings in multiples hamartoma syndrome (Cowden disease): a report of three cases. Radiology 1980; 137: 317-23.

  16. Levine MS. Benign tumors of the stomach and duodenum. Chapter 34. In: Gore RM, Levine MS. Textbook of gastrointestinal radiology. 2a. Ed. Ed. W.B. Saunders; 2000, pp. 575-600.

  17. Feczko PJ, Halpert RD, Ackerman LV. Gastric Polyps: Radiological evaluation and clinical significance. Radiology 1985; 155: 581-4.

  18. Iida M, Yao T, Itoh H, et al. Natural history of fundic gland polyposis in patients with familial adenomatosis coli/Gardner’s Syndrome. Gastroenterology 1985; 89: 1921-5.

  19. Smith HJ, Lee EL. Large hyperplasic polyps if the stomach. Gastrointest Radiol 1983; 8: 19-23.

  20. Ming SC, Goldman H. Gastric polyps: a histogenetic classification and its relation to carcinoma. Cancer 1965; 18: 721-6.

  21. Tomosulo J. Gastric polyps: histologic types and their relationship to gastric carcinoma. Cancer 1971; 27: 1346-55.

  22. Deutschberger O, Tcherckoff D, Daino J, et al. Benign duodenal polyp review of the literature and report of a giant adenomatous polyp of the duodenum bulb. Am J Gastroenterology 1962; 38: 75-84.

  23. Lappas JC. Benign tumors of the small bowel. Cap 44. In: Gore RM, Levine MS. Textbook of gastrointestinal radiology. 2a. ed. WB Saunders; 2000, 785-91.

  24. Moch A, Herlinger H, Kochman ML, et al. Enteroclysis in the evaluation of obscure gastrointestinal bleeding. AJR 1994; 163: 1381-4.

  25. Lightdale CJ, Hornsby-Lewis L. Tumors of the small intestine.

  26. Olmsted WW, Ros PR, Hjermstad BM, et al Tumors of the small intestine with little or no malignant predisposition: a review of the literature and report of 56 cases. Gastrointest Radiol 1987; 12: 231-9.

  27. Taylor AJ, Stewart ET, Dodds WJ. Gastrointestinal lipomas: a Radiologic and pathologic review. AJR 1990; 155: 1205-10.

  28. Buck JL, Harned RK. Polyposis syndromes. Cap 58. In: Gore RM, Levine MS. Textbook of gastrointestinal radiology. 2a. ed. W.B. Saunders 2000; 1075-87.

  29. Bernstein MA, Feczko PJ, Halpert RD, Simms SM, Ackerman LV. Distribution de colonic polyps: increased incidence of proximal lesions in older patients. Radiology 1985; 155: 35-8.

  30. Radi MJ, Fenoglio-Preiser CM. Colorectal polyps and polyposis syndromes: Pathological Features. Cap. 14. 5th ed. Bockus Gastroenterology Philadelphia: WB Saunders 1995; 317-41.

  31. Roth SI, Helwing EB. Juvenile polyps of the colon and rectum. Cancer 1963; 16: 468-78.

  32. Russel DA, Bhathal PS, St. John DJB. Gastroenterology 1986; 91: 1580. Editor’s note: Sustained clinical and pathological remission of Cronkhite-Canada Syndrome.

  33. Miller JH, Gisvold JJ, Weiland LH, et al. Upper gastrointestinal tract: villous tumors. AJR 1980; 134: 933-6.

  34. Kutin ND, Ranson JHC, Couge TH, et al. Villous tumors of the duodenum. Ann Surg 1975; 181: 164-8.

  35. Pickhardt PJ, Choi JR, Hwang I, Butler JA, et al. Computed tomographic virtual colonoscopy to screen for colorectal neoplasia in asymptomatic adults published at www.nejm.org December 1, 2003 (10.1056/NEJMoa031618).




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