A CASE OF INFLAMMATORY ESOPHAGOGASTRIC POLYP DEVELOPED AND DISAPPEARED DURING THE CLINICAL COURSE OF REFLUX ESOPHAGITIS

Abstract

A 76-year-old woman, having reflux esophagitis for eight years, was admitted for close examination of the multiple polypoid lesions near the esophagogastric junction. The diameter of the largest one was 14mm. The histological study of the biopsy specimens showed granuration tissue with severe inflammation. After one month medical therapy with H₂-blocker, endoscopical examination revealed that the multiple polypoid lesions in the lower esophagus had disappeared, but polyps at the cardia were not. We thought this case as inflammatory esophagogastric polyp, developed during the clinical course of reflux esophagitis. The esophageal polyps were thought to have disappeared with improvement of inflammatory changes by medical therapy. However, those lesions may have been mechanically cut off through the frequent esophageal intubations which had been carried out for esophageal functional study.