Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
自然経過で噴出性出血を伴った胃過形成性ポリープの1例
小原 大和松野 高久長谷川 彩宍戸 泰紀三浦 雅史田中 潤治鈴木 雄太原 精一佐藤 真司馬場 毅中野 茂松田 尚久赤坂 喜清
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2024 年 105 巻 1 号 p. 69-70

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The patient was a 67-year-old man with a history of cerebral infarction and clopidogrel use. Upper gastrointestinal endoscopy was performed to investigate the cause of his anemia imaging revealed multiple gastric hyperplastic polyps that were easily hemorrhagic. We diagnosed gastric hyperplastic polyps as the cause of anemia and planned to perform EMR. Endoscopy revealed a large amount of blood clots in the stomach and a 10 mm polyp with eruptive bleeding was found and resected by EMR. Bleeding from hyperplastic gastric polyps is often minimal, and severe bleeding, as in this case, is rare. In this case, clopidogrel therapy likely contributed to the increased bleeding susceptibility.

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© 2024 一般社団法人 日本消化器内視鏡学会 関東支部
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