食道胃接合部における炎症性ポリープの臨床病理学的検討

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  • Endoscopic and Pathologic Findings of the Inflammatory Polyps of the Esophagogastric Junction.

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Background & Aim : Inflammatory esophagogastric polyp tended to misdiagnose as a malignant lesion. The aim of this examination was to investigate the correlation of the endoscopic findings with pathologic findings of the inflammatory esophagogastric polyp. Methods : Fourteen patients was histologically diagnosed as an inflammatory polyp in seven years. We investigated endoscopic form, color, iodine staining appearance, location, symptom, grading of GERD, gastric folds, histological findings, therapy and so on. Results : All lesions are divided into two group histologically. Foveolar epithelial type (F type) frequently formed l or ll type protrusion in Yamada's classification endoscopically. F type of these polyps often shows reddish and negative for iodine staining, on the other hand, it accompanies with gastric folds. Squamous epithelial type (S type) often shows type lll of Yamada's classification endoscopically. S type of these polyps often shows mixed color pattern (reddish and discolored), and it's iodine staining shows mixed pattern, (intermingled deep and non-stained area) which is similar to soccer ball. S type, and also is occasionally difficult to differentiate between reactive atypic and malignant change histologically. Conclusions : We should treat these polyps using PPI initially because it is supposed that inflammatory esophagogastric polyps have origineted in GERD. On the other hand, we recom-mend endoscopic resection more actively to make diagnose definitely in a difficult case by only using biopsied specimen.

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