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Description

Introduction

In patients presenting with iron deficiency anemia, blood loss must be considered as an etiology. This is especially important in patients who are planned to undergo invasive procedure or need to be on antiplatelets or anticoagulation.

Discussion

Gastric polyps are noted to be present in 6% of EGDs, and are mostly incidentally detected. Many gastric polyps have similar endoscopic appearances and some of them have malignant potential, hence histolopathology is important. Gastric hyperplastic polyps are strongly associated with inflammatory disorders such as chronic gastritis, H. pylori gastritis, and pernicious anemia.1 Other gastric polyps: – Fundic gland polyps – Adenomatous polyps: High malignant potential – Gastric neuroendocrine tumors – Inflammatory fibroid polyps

Conclusion

Occult blood loss must be considered in differential diagnosis for new onset iron deficiency anemia. Even though gastric polyps may be incidentally detected, histopathology is important to rule out malignancy.

Publication Date

10-2022

Keywords

gastric polyps, blood loss, anemia

Disciplines

Gastroenterology | Internal Medicine

Comments

American College of Physicians Michigan Chapter Annual Scientific Meeting, October 13-16, 2022, Bellaire, MI.

Gastric Polyps Leading to Occult Blood Loss

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