Case Report
Copyright ©The Author(s) 2005. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 7, 2005; 11(33): 5245-5247
Published online Sep 7, 2005. doi: 10.3748/wjg.v11.i33.5245
Endoscopic excision of a prolapsing malignant polyp which caused intermittent gastric outlet obstruction
Hugh J Freeman
Hugh J Freeman, Department of Medicine (Gastroenterology), University of British Columbia, Vancouver, BC, V6T 1W5, Canada
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Hugh J. Freeman, Gastroenterology, UBC Hospital, 2211 Wesbrook Mall, Vancouver, BC, V6T 1W5 Canada. hugfree@shaw.ca
Telephone: +1-604-822-7216 Fax: +1-604-822-7236
Received: December 30, 2004
Revised: February 25, 2005
Accepted: February 28, 2005
Published online: September 7, 2005
Abstract

A 69-year-old male with chronic lymphocytic leukemia presented with iron deficiency anemia and post-prandial abdominal fullness. Endoscopy showed a large polyp on a stalk, protruding through the pylorus into the duodenum causing intermittent gastric outlet obstruction. While prolapsing gastric antral polyps are usually benign and hyperplastic, inflammatory or regenerative in type, excisional snare polypectomy here led to complete resolution of his symptoms, but showed a malignant polyp.

Keywords: Gastric adenoma; Gastric carcinoma; Endoscopic polypectomy; Neoplastic gastric polyps