Endoscopic Multiple Gastric Polypectomy in Two Phage of the Same Patient - A Case Report and Discussion

Abstract

A POLYP is defined as a proliferative or neoplastic of gastrointestinal mucosal layer. It is a lesion which appeared at endoscopy, protruding into the lumen of digestive tract as discrete projection above the adjacent mucosal surface. In most cases, polyps are incidental findings during routine endoscopy, also they are typically found incidentally when upper gastrointestinal endoscopy is performed for an unrelated indication. These lesions have previously been accepted as completely benign but Gastric adenomas have a higher incidence of malignant transformation than adenomatous polyps in colon. Though polypectomy has various immediate and delayed complications, Specially in case of multiple polypectomy. Multiple polypectomy has been advised and applied in several phages for the achievement of complete removal of polypoid lesions in same patient. In the aim to reduce the frequency of this invasive procedure and to achieve a probable safe limit in a single phase we performed an evaluatory multiple endoscopic gastric polypectomy under extensive precaution and close supervision in two phages of a same patient. To avoid possible hazards and to minimize the complication as possible we choose a non-diabetic, non-hypertensive patient with no established cardiovascular disorder. In first phage a number of thirty two and in second phage twenty nine gastric polyps had been success fully removed by electro coagulation without any immediate or delayed complications.