Evidence map›Paper›PMID 40017511›Full record

ArticleDEN open2025

Proton pump inhibitor-induced large gastric polyps can regress within 2 months after discontinuation: Experience from two cases.

Tomoki Inaba, Kenji Yamauchi, Shigenao Ishikawa, Hugh Shunsuke Colvin, Koichi Izumikawa, Kumiko Yamamoto, Sakuma Takahashi, Masaki Wato, Satoko Nakamura, Seiji Kawano

Abstract read
In one paragraph

Article in DEN open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
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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

10 authors.

Tomoki InabaDepartment of Gastroenterology Kagawa Prefectural Central Hospital Kagawa Japan.
Kenji YamauchiDepartment of Gastroenterology Kagawa Prefectural Central Hospital Kagawa Japan.ORCID https://orcid.org/0000-0002-1621-6477
Shigenao IshikawaDepartment of Gastroenterology Kagawa Prefectural Central Hospital Kagawa Japan.
Hugh Shunsuke ColvinDepartment of Gastroenterology Kagawa Prefectural Central Hospital Kagawa Japan.
Koichi IzumikawaDepartment of Gastroenterology Kagawa Prefectural Central Hospital Kagawa Japan.ORCID https://orcid.org/0000-0002-2465-117X
Kumiko YamamotoDepartment of Gastroenterology Kagawa Prefectural Central Hospital Kagawa Japan.
Sakuma TakahashiDepartment of Gastroenterology Kagawa Prefectural Central Hospital Kagawa Japan.
Masaki WatoDepartment of Gastroenterology Kagawa Prefectural Central Hospital Kagawa Japan.
Satoko NakamuraDepartment of Pathology Kagawa Prefectural Central Hospital Kagawa Japan.
Seiji KawanoDepartment of Gastroenterology and Hepatology Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences Okayama Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The long-term use of proton pump inhibitors (PPIs) can induce fundic gland polyps (FPs) in the stomach, sometimes leading to numerous large FPs (LFPs). Although PPI discontinuation can reduce LFP size and number, the underlying process remains unstudied. A 63-year-old woman on esomeprazole (20 mg daily for 10 years) was scheduled for endoscopic LFP removal. After PPI discontinuation, her LFPs regressed to <10 mm within 35 days. A 60-year-old male physician on rabeprazole (10 mg daily for 12 years) had LFPs detected via esophagogastroduodenoscopy screening. He opted for weekly esophagogastroduodenoscopy with pathological evaluations to monitor changes post-discontinuation. One week after PPI withdrawal, gastric juice acidity and viscosity increased, with erosion observed on nearly all LFP surfaces. By day 35, all LFPs regressed and resembled sporadic FPs. This study demonstrated that PPI-induced LFPs regress within a short period post-discontinuation and suggests that LFP volume reduction is linked to gastric environment changes, particularly increased acidity.

Indexed as

esophagogastroduodenoscopyfundic gland polypsgastric aciditygastroesophageal reflux diseaseproton pump inhibitors

Identifiers

PMID40017511
PMCPMC11865012

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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.