PMID- 33790706 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210402 IS - 1662-0631 (Print) IS - 1662-0631 (Electronic) IS - 1662-0631 (Linking) VI - 15 IP - 1 DP - 2021 Jan-Apr TI - Disappearance of Gastric Hyperplastic Polyps after the Discontinuation of Proton Pump Inhibitor in a Patient with Liver Cirrhosis. PG - 202-209 LID - 10.1159/000511885 [doi] AB - Here, we report on a rare case of gastric hyperplastic polyps which disappeared after the discontinuation of proton pump inhibitor (PPI). The patient was an 83-year-old woman with liver cirrhosis and portal hypertension, along with gastroesophageal reflux disease treated by PPI. An initial upper gastrointestinal endoscopy showed unique polypoid lesions in the greater curvature of the stomach. Biopsy specimens of the lesions were diagnosed as hyperplastic polyps and she was followed. One year later, a second endoscopy showed that the lesions had increased in number and size, and an endoscopic mucosal resection (EMR) was performed for the main polyps. The resected specimens indicated a proliferation of foveolar epithelium cells with an increase of capillary ectasia and parietal cell hyperplasia, which was thought to be induced by hypergastrinemia from the PPI. Three months after the EMR, she was admitted because of bleeding from the remaining polyps along with an increase in new polyps. After conservative treatment, PPI was stopped and rebamipide was used. One year and 6 months later, an endoscopy showed the complete disappearance of all gastric polyps. CI - Copyright (c) 2021 by S. Karger AG, Basel. FAU - Yasugi, Kengo AU - Yasugi K AD - Department of Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan. FAU - Haruma, Ken AU - Haruma K AD - Department of Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan. FAU - Kawanaka, Miwa AU - Kawanaka M AD - Department of Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan. FAU - Suehiro, Mitsuhiko AU - Suehiro M AD - Department of Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan. FAU - Nakamura, Jun AU - Nakamura J AD - Department of Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan. FAU - Urata, Noriyo AU - Urata N AD - Department of Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan. FAU - Tanikawa, Tomohiro AU - Tanikawa T AD - Department of Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan. FAU - Oka, Takahito AU - Oka T AD - Department of Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan. FAU - Monobe, Yasumasa AU - Monobe Y AD - Department of Pathology, Kawasaki Medical School General Medical Center, Okayama, Japan. FAU - Fujita, Takuya AU - Fujita T AD - Fujita Hospital, Okayama, Japan. FAU - Kawamoto, Hirofumi AU - Kawamoto H AD - Department of Internal Medicine 2, Kawasaki Medical School General Medical Center, Okayama, Japan. LA - eng PT - Case Reports DEP - 20210218 PL - Switzerland TA - Case Rep Gastroenterol JT - Case reports in gastroenterology JID - 101474819 PMC - PMC7989726 OTO - NOTNLM OT - Gastric hyperplastic polyp OT - Hypergastrinemia OT - Proton pump inhibitor COIS- The authors have no conflicts of interest to declare. EDAT- 2021/04/02 06:00 MHDA- 2021/04/02 06:01 PMCR- 2021/02/18 CRDT- 2021/04/01 06:25 PHST- 2020/09/04 00:00 [received] PHST- 2020/09/18 00:00 [accepted] PHST- 2021/04/01 06:25 [entrez] PHST- 2021/04/02 06:00 [pubmed] PHST- 2021/04/02 06:01 [medline] PHST- 2021/02/18 00:00 [pmc-release] AID - crg-0015-0202 [pii] AID - 10.1159/000511885 [doi] PST - epublish SO - Case Rep Gastroenterol. 2021 Feb 18;15(1):202-209. doi: 10.1159/000511885. eCollection 2021 Jan-Apr.