Abstract
The authors report 62 cases of stomach polyp discovered out of 4, 000 cases by means of the gastrocamera and fiberscope for these 6 years from August, 1960 to March, 1965.
Though the definition of the gastric polyp would not be conclusive yet, the authors define as following; gastric polyp is the clearly localized protrusion of the gastric mucosa toward the gastric lumen.
Fourteen cases among 62 were confirmed by operation.
Among 4, 000 cases 62 (1.6%) of them were diagnosed as gastric polp.
Thirty-six cases were male and the other 26 female.
The polyps were found most frequently from the fourth to the sixth decade.
Forty-eight cases (77.4%) were solitary and most of them were located at the antrum.
Eight polyps (12.9%) were pedunculated and the other 54 (87.1%) sessile.
The mucous membrane surrounding the polyp was found to be pathological in all cases.
As to accompanying, atrophic gastritis in 67.7%, superficial atrophic gastritis in 27.4%, superficial gastritis in 4.8% and normal in 0%.
Most of patients complained of epigastric pain or fullness.
The gastric juice revealed 3 normal, 8 achylia, 4 hypoacidity and 4 hyperacidity.
Occult blood in the stool was negative in 3, positive in 30.
A relationship among X-ray diagnosis and endoscopic diagnosis was described.
In histology of 14 cases, adenoma in 10, fibroma in 1, gastric tuberculoma in 1, parasite granuloma in 1, early gastric cancer in 1, and one case was particularily difficult to determine its malignancy.
According to many previous reports and our experiences, bleeding, dirty coating, erosion, irregularity of form, broad base, uneven surface, changes of the surrounding mucous membrane, bigness and sessileness are noteworthy findings in malignant cases.
