A Case of Laparoscopic Distal Gastrectomy in a Patient with a Giant Gastric Hyperplastic Polyp and Anemia

Abstract

A 49-year-old woman underwent endoscopic examination of the upper gastrointestinal tract for anemia, which revealed a giant elevated lesion measuring 8.5 cm in length. Biopsy revealed a hyperplastic polyp, which were thought to be the cause of the anemia, but the possibility of cancer or coexisting cancer could not be ruled out. Because the tumor was large in diameter and difficult to resect endoscopically, laparoscopic distal gastrectomy (LDG) was performed. The histopathological diagnosis of the resected specimen was glandular epithelial hyperplastic polyp, and there were no malignant findings. Malignant transformation of large gastric hyperplastic polyps is not rare, and surgery is recommended for patients in whom the tumor cannot be resected en bloc by endoscopy. Laparoscopic surgery is a minimally invasive and effective technique, with good cosmetic results.