| 내시경적 점막 절제술로 치료한 출혈성 과오종성 위용종 |
| 이정민ㆍ백지훈ㆍ강혜미ㆍ민병도ㆍ박상훈ㆍ김지웅ㆍ조진웅ㆍ주명진* |
| 예수병원 내과, *해부병리과 |
| Successful Treatment of Gastric Hamartomatous Polyp with Hemorrhage by Endoscopic Mucosal Resection |
| Jung Min Lee, M.D., Ji Hoon Baek, M.D., Hye Mi Kang, M.D., Byeng Do Min, M.D., Sang Hoon Park, M.D., Ji Woong Kim, M.D., Jin Woong Cho, M.D. and Myoung Jin Ju, M.D.* |
| Departments of Internal Medicine and *Pathology, Presbyterian Medical Center, Jeonju, Korea |
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| Abstract |
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Hamartomatous polyp is an uncommon lesion. Most of the gastric hamartomatous polyps occur in patients in their 40s because of polyposis coli. Gastric hamartomaotus polyps are usually asymptomatic, but they occasionally manifest with hematemesis or anemia. If they are congenital, then sessile polyps in children should be observed with some measurable frequency. However, many reports have revealed that if the polyp size is big and the risk of rebleeding is high, then ESD or surgical resection can be used to completely remove them. An inverted gastric hamartomatous polyp may have an early gastric cancer component. We report here on an unusual polyp in a 14-years male who presented with hematemesis. Those were about two 3 cm sized large polyps at the proximal antrum and mid body of the stomach, respectively. The polyps were successfully removed by an endoscopic mucosal resection and the lesions were diagnosed as gastric harmatomas. (Korean J Gastrointest Endosc 2009;39:300-303) |
| Key Words:
Gastric hamartomaotus polyps, Endoscopic mucosal resection, Hematemesis |
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