Gastroenterology Education and CPD for trainees and specialists

1. All the following are true about fundic gland polyp (FGP) except :

1. Hamartomatous polyps
2. Associated with PPI use
3. Associated with FAP
4. Sporadic FGP are found exclusively in patients without H.Pylori infection
5. Usually more than 10 mm in size

Explanation :FGP are smooth, glassy, sessile, circumscribed elevations (usually measuring < 5 mm). Sporadic and PPI associated FGPs have low malignant potential and no ominous associations. By contrast, a definite risk of dysplasia (between 30% and 50%) is present in FAP associated FGPs. Thus FGP should be carefully biopsied in FAP. Dysplasia in FGPs is also associated with large polyp size (>1 cm).

2. A 55 year old man underwent an OGD for dyspepsia. It showed a 2 cms polyp in the gastric antrum. It was excised and retrieved. The following is true about gastric polyps except:

1. Gastric polyps are mostly asymptomatic and are typically found incidentally at OGD
2. H. Pylori eradication causes regression of up to 70% of hyperplastic polyps.
3. Adenomatous gastric polyps are at increased risk for malignant change and should be excised
4. Hyperplastic polyps have also a low but definite potential for development of malignancy.
5. Surveillance endoscopy is indicated after removal of gastric polyps

Explanation :The guidelines of the American Society of Gastrointestinal Endoscopy (ASGE) recommend surveillance endoscopy one year after removing adenomatous gastric polyps to assess recurrence at the prior excision site. Hyperplastic polyps have low malignant potential and further surveillance endoscopy is not recommended after excision.

Gastroenterology training and education

MCQ On Gastric polyps

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