Gastric inflammatory fibroid polyp morphologically changed by Helicobacter pylori eradication

Clin J Gastroenterol. 2015 Apr;8(2):77-81. doi: 10.1007/s12328-015-0557-z. Epub 2015 Mar 3.

Abstract

A 60-year-old male presented to our hospital for further investigation of abnormal findings on an upper gastrointestinal series. Esophagogastroduodenoscopy demonstrated atrophic gastritis and a submucosal tumor (SMT) at the anterior wall of the antrum. The patient was positive for serum anti-Helicobacter pylori (H. pylori) antibody and H. pylori eradication therapy was performed. Five months later, the SMT showed a remarkable morphological change in that an ulcer had developed on its apex, and partial gastrectomy was performed. Pathological examination suggested an inflammatory fibroid polyp (IFP), and genetic analysis revealed no mutation in the platelet-derived growth factor receptor alpha gene. This case suggests that H. pylori infection plays an important role in the etiology of IFPs.

Publication types

  • Case Reports

MeSH terms

  • Amoxicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use*
  • Clarithromycin / therapeutic use
  • Endoscopy, Digestive System
  • Gastritis, Atrophic / complications
  • Gastritis, Atrophic / pathology
  • Helicobacter Infections / complications
  • Helicobacter Infections / drug therapy*
  • Helicobacter pylori*
  • Humans
  • Male
  • Middle Aged
  • Polyps / complications
  • Polyps / pathology*
  • Polyps / surgery
  • Proton Pump Inhibitors / therapeutic use
  • Rabeprazole / therapeutic use
  • Stomach Neoplasms / complications
  • Stomach Neoplasms / pathology*
  • Stomach Neoplasms / surgery

Substances

  • Anti-Bacterial Agents
  • Proton Pump Inhibitors
  • Rabeprazole
  • Amoxicillin
  • Clarithromycin