Abstract:
BACKGROUND:Fundic gland polyps (FGPs) are now the most common gastric polyp encountered by endoscopists. However, they have minimal clinical significance. If they could be reliably predicted by endoscopic features, it might prevent the need for and cost of biopsy. GOALS:To determine the positive predictive value of endoscopic criteria deemed characteristic of FGPs. STUDY:We prospectively identified 56 consecutive patients with one or more gastric polyps deemed typical of FGPs by endoscopic criteria and submitted them for histologic analysis. Patients with familial adenomatous polyposis were excluded. RESULTS:Histologic examination confirmed that 50 (89.3%) of the 56 polyps were FGPs. Of the six polyps incorrectly predicted to be FGPs, three were determined to be of normal gastric body-type mucosa, one was uninterpretable secondary to squeeze artifact, one was a lymphoid aggregate with mucosal edema, and one was polypoid regenerative mucosa in the setting of chronic active gastritis and Helicobacter pylori infection. CONCLUSIONS:As sporadic FGPs are common and can be predicted with a high degree of accuracy based on endoscopic evaluation, it may not be necessary to submit them for pathologic examination. This practice would result in cost savings.
journal_name
J Clin Gastroenteroljournal_title
Journal of clinical gastroenterologyauthors
Weston BR,Helper DJ,Rex DKdoi
10.1097/00004836-200305000-00007subject
Has Abstractpub_date
2003-05-01 00:00:00pages
399-402issue
5eissn
0192-0790issn
1539-2031journal_volume
36pub_type
杂志文章abstract::We investigated whether autoimmune cholangitis (AC) has specific features that constitute an entity other than primary biliary cirrhosis (PBC). We compared clinical, laboratory, and liver biopsy features; response to treatment; and the follow-up of two groups of patients. The first group comprised seven patients with ...
journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:10.1097/00004836-199610000-00007
更新日期:1996-10-01 00:00:00
abstract::We examined California Medicaid (Medi-Cal) service use and expenditures for peptic ulcer and other acid-related diseases during the 10-year period fiscal year (FY) 1976-1985. Between FY 1976 and FY 1980, hospitalizations rose irregularly, operations declined by 37%, endoscopies tripled, physician visits fluctuated fro...
journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:10.1097/00004836-198912000-00003
更新日期:1989-12-01 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1097/00004836-199506002-00022
更新日期:1995-01-01 00:00:00
abstract::A case of heterotopic liver of the jejunum confirmed by electron microscopy in a 2-year-old girl is described. We review the literature regarding heterotopic liver and discuss its embryogenesis. We suggest that in our case, there was trapping of hepatocyte-destined mesenchyme prior to biliary tree development. ...
journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章,评审
doi:10.1097/00004836-198908000-00024
更新日期:1989-08-01 00:00:00
abstract:GOALS:To define both risks and costs of optimal care of patients with gastric acid hypersecretion. BACKGROUND:The management of Zollinger-Ellison syndrome and other gastric acid hypersecretory disorders remains challenging. The optimal strategy for follow-up including gastric acid analysis, laboratory studies, and end...
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doi:10.1097/MCG.0b013e3181a59aa5
更新日期:2010-01-01 00:00:00
abstract::The intestinal barrier serves 2 critical functions for the survival of the individual: first, it allows nutrient absorption and second, it defends the body from dangerous macromolecule penetration. It is a complex multilayer system, consisting of an external "anatomic" barrier and an inner "functional" immunological b...
journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章,评审
doi:10.1097/MCG.0b013e31826ae849
更新日期:2012-10-01 00:00:00
abstract::Fulminant hepatic failure as a result of hepatitis A is a rarely diagnosed complication entity in developed countries. With the advent of specific serologic markers for acute hepatitis A virus infection, the incidence and pathology of fulminant hepatitis A can be more clearly defined. We describe four patients (one ad...
journal_title:Journal of clinical gastroenterology
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doi:10.1097/00004836-199309000-00014
更新日期:1993-09-01 00:00:00
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:10.1097/00004836-199704000-00013
更新日期:1997-04-01 00:00:00
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:10.1097/00004836-200103000-00020
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:10.1097/MCG.0000000000001446
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journal_title:Journal of clinical gastroenterology
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更新日期:2020-07-01 00:00:00
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:10.1097/00004836-198202000-00004
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:10.1097/00004836-198812000-00017
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abstract::We undertook a prospective study of the effect of incidental appendectomy on the safety of cholecystectomy in patients under the age of 50 years. One hundred twenty patients were randomized to have either cholecystectomy alone or cholecystectomy and appendectomy. All patients received preoperative antibiotic cover. Bo...
journal_title:Journal of clinical gastroenterology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00004836-198608000-00010
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:10.1097/00004836-199110000-00013
更新日期:1991-10-01 00:00:00
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
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journal_title:Journal of clinical gastroenterology
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更新日期:2021-01-01 00:00:00
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
doi:10.1097/00004836-198404000-00003
更新日期:1984-04-01 00:00:00
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
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更新日期:1991-02-01 00:00:00
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2011-11-01 00:00:00
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章,随机对照试验
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更新日期:2019-11-01 00:00:00
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journal_title:Journal of clinical gastroenterology
pub_type: 杂志文章
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更新日期:2016-10-01 00:00:00