TỶ LỆ POLYP TUYẾN ĐÁY VỊ DẠ DÀY VÀ MỘT SỐ YẾU TỐ LIÊN QUAN

Abstract

Gastric fundic gland polyps (FGPs) are the most common type of gastric polyps detected during upper gastrointestinal endoscopy. The rate of Helicobacter pylori infection and the use of proton pump inhibitors (PPIs) are considered to be related to gastric fundic gland polyps. Aims: 1. To survey the rate of gastric fundic gland polyps in patients undergoing upper gastrointestinal endoscopy. 2. To determine the rate of H. pylori infection and some related factors. Materials and method: Prospective descriptive study on 483 patients histologically diagnosed as gastric fundic gland polyps according to WHO 2019 standards, undergoing upper gastrointestinal endoscopy at the Digestive Endoscopy Department, Vietnam-Sweden Hospital, Uong Bi, Quang Ninh from July 2023 to the end of June 2024. Results: The rate of gastric fundic gland polyps in 15,458 upper gastrointestinal endoscopy cases was 3.12%; The mean age was 55.9 ± 12.7; 28% were male, 72% were female; FGP < 5mm was 2.6%, 5mm ≤ FGP ≤10mm was 0.5%, FGP >10mm was 0.02%; The rate of H.Pylori infection in patients with gastric fundus polyps was 24.4%. Regarding the factor of PPI use: 16% were not identified for PPI use, 17% were not identified for PPI use and 67% were identified for PPI use. Of the group that used PPI, 28% used it for less than 1 year, 61% used it for 1-5 years and 11% used it for more than 5 years. Conclusion: In 15,458 upper gastrointestinal endoscopy cases, 3.12% of patients were diagnosed with gastric fundus polyps, common in middle-aged women. Gastric fundic gland polyps have a low prevalence of H. pylori infection and are associated with a history of proton pump inhibitor (PPI) use