EGD Masterclass: EoE, Strictures, and Pre-malignant Gastric Conditions (Virtual Only) | January 2023-Session 3 Case Study Question and Answer

Video Transcription

Video Summary

In this video, a case is presented involving a 78-year-old patient with multiple gastric polyps. The polyps were hyperplastic in nature, and low grade dysplasia was found in one of the polyps upon biopsy. The video shows slides of the four larger polyps, located on the greater and lesser curves of the stomach. The panel discusses the difficulty in examining hyperplastic polyps due to ulceration and bleeding. It is recommended to perform endoscopic resection for polyps larger than one centimeter. The first resected polyp showed low grade dysplasia, while the second polyp showed no dysplasia. The third polyp was found to have intramucosal carcinoma arising from high grade dysplasia, and the fourth polyp showed no dysplasia. The discussion also touches on the need for surveillance, the use of electronic chromoendoscopy, and the technique for resecting gastric polyps. The panel considers the presence of background changes in the stomach mucosa and the possibility of an underlying syndrome. The importance of H. pylori eradication and the risk of gastric cancer in patients on long-term PPI use are also discussed. The panel concludes by highlighting the need for a meticulous examination of the entire stomach and providing guidance on pathology reporting. The video includes a question and answer session with the audience. No credits were mentioned.

Keywords

gastric polyps

hyperplastic polyps

dysplasia

endoscopic resection

intramucosal carcinoma