[Polypectomy and endoscopic management of a giant gastric polyp]

Abstract

Gastric polyps are mainly hyperplastic and benign. They are associated with idiosinchratic factors, genetic or associated to chronic use of pump inhibitors. Endoscopic resection is recommended even though the rate of malignant transformation is very low. The vast majority are encountered as incidental findings in routine endoscopy. When they grow beyond 10mm (they may reach several centimetres in diameter) gastric polyps are a cause of dyspepsia, bleeding or gastric outlet obstruction, if located in the antrum. We report a safe endoscopic resection of a giant gastric polyp combining injection, elevation, endoloop and argon plasma coagulation (APC).