Evidence map›Paper›PMID 28660530›Full record

ArticleClinical journal of gastroenterology2017

Hemorrhagic polyps formed like fundic gland polyps during long-term proton pump inhibitor administration.

Tsutomu Takeda, Daisuke Asaoka, Yuzuru Tajima, Kenshi Matsumoto, Naoto Takeda, Takahumi Hiromoto, Shoki Okubo, Hiroaki Saito, Tomonori Aoyama, Tomoyoshi Shibuya and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Tsutomu TakedaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan. t-takeda@juntendo.ac.jp.
Daisuke AsaokaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Yuzuru TajimaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Kenshi MatsumotoDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Naoto TakedaDepartment of General Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Takahumi HiromotoDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Shoki OkuboDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Hiroaki SaitoDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Tomonori AoyamaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Tomoyoshi ShibuyaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Naoto SakamotoDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Mariko HojoDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Taro OsadaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Akihito NagaharaDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Takashi YaoDepartment of Human Pathology, Juntendo University School of Medicine, Tokyo, Japan.
Sumio WatanabeDepartment of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
Juntendo University · JP

Funding

a Grant-in-Aid for General Scientific Research from the Ministry of Education, Science, Sports, and Culture #26460428
6 · The paper itself

Abstract

We report a rare case of hemorrhagic gastric polyps resulting in anemia during long-term proton pump inhibitor (PPI) administration that endoscopically looked like a fundic gland polyp (FGP). A 44-year-old man presented complaining of anemia and tarry stools. Esophagogastroduodenoscopy (EGD) demonstrated multiple white edematous polyps in the corpus and antrum, which were considered to be FGPs. We attempted endoscopic hemostasis but hemorrhaging increased because of hemorrhagic polyps and vulnerable gastric mucosa. Re-bleeding occurred several times. Polyp resection was performed at 24 polyp sites. We also ceased the administration of PPI. Microscopically, polyps showed characteristics of hyperplasia in the foveolar epithelium, extensions of fundic glands, and edema of the stroma. The proliferation of parietal and chief cells was also observed. Immunohistochemically, aquaporin-4 (AQP4) and KCNQ1-positive parietal cells and dilated mucous glands were found from the basal side to the apical side of the mucosa. These findings were compatible with the development of lesions associated with the long-term administration of PPI. EGD revealed an improvement in the vulnerability of gastric mucosa and the development of polyps, with no further gastric polyps observed 1 year after discharge. Bleeding from polyps resembling FGPs is generally rare, with indications that long-term PPI administration may induce such bleeding.

Indexed as

AdultAnemiaEndoscopy, Digestive SystemGastrointestinal HemorrhageHumansHyperplasiaMalePolypsProton Pump InhibitorsRecurrenceStomach NeoplasmsProton Pump InhibitorsAquaporin-4BleedingFundic gland polypKCNQ1Long-term proton pump inhibitor therapySelective serotonin reuptake inhibitors

Identifiers

PMID28660530
PMCPMC5606985
OpenAlexW2727186261

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.