array:23 [ "pii" => "S2444382424001342" "issn" => "24443824" "doi" => "10.1016/j.gastre.2023.03.010" "estado" => "S300" "fechaPublicacion" => "2024-03-01" "aid" => "2066" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2024;47:270-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S2444382424000646" "issn" => "24443824" "doi" => "10.1016/j.gastre.2023.09.003" "estado" => "S300" "fechaPublicacion" => "2024-03-01" "aid" => "2122" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "rev" "cita" => "Gastroenterol Hepatol. 2024;47:272-85" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review</span>" "titulo" => "High-resolution manometry with impedance for the study of pharyngeal motility and the upper esophageal sphincter: Keys for its use in the study of the pathophysiology of oropharyngeal dysphagia" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "272" "paginaFinal" => "285" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Manometría de alta resolución con impedancia para el estudio de la motilidad faríngea y del esfínter esofágico superior: claves para su utilización en el estudio de la fisiopatología de la disfagia orofaríngea" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 4088 "Ancho" => 2500 "Tamanyo" => 572485 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0035" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A) Adaptation of the flow chart proposed by the International Working Group (Ascona-II) for the process of classifying categories of pharyngoesophageal dysfunction. B) Adaptation of the flow chart proposed at the Ascona-III International Working Group meeting for the classification of categories of pharyngoesophageal dysfunction based on the study by Omari et al.<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">40</span></a> This diagram proposes to classify patients according to an initial pressurisation pattern.</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">In pressurisation pattern type 1 (number 1) a clear biomechanical pattern of flow obstruction would appear. Patterns 2 or 3 are considered as UOS abnormalities/disorders when observing a combination of incomplete UOS relaxation (type 2), according to UOS IRP, or findings of altered distensibility (maximum UOS admittance) (type 3).</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">To confirm UOS impairment in patients in whom there is no pressurisation pattern, both incomplete UOS relaxation and other distensibility impairments would be required (number 4). In patients where no UOS disorder is demonstrated (numbers 5–7), if pharyngeal propulsion is taken into account and is weak or absent, they would be classified as propulsion disorder (number 5). The remaining cases would be classified as "other disorders" if they have abnormal findings in one or more metrics (number 6), or no alterations if all variables are within normal ranges.</p> <p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">HIBP: hypopharyngeal intrabolus pressure; LLN: lower limit of normal; PP: peak pressure; ULN: upper limit of normal; UOS: upper oesophageal sphincter; UOSRP: UOS relaxation pressure.<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">40</span></a></p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel Martínez-Guillén, Pere Clavé, Mónica Zavala, Silvia Carrión" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Miguel" "apellidos" => "Martínez-Guillén" ] 1 => array:2 [ "nombre" => "Pere" "apellidos" => "Clavé" ] 2 => array:2 [ "nombre" => "Mónica" "apellidos" => "Zavala" ] 3 => array:2 [ "nombre" => "Silvia" "apellidos" => "Carrión" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210570523004351" "doi" => "10.1016/j.gastrohep.2023.09.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570523004351?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382424000646?idApp=UINPBA00004N" "url" => "/24443824/0000004700000003/v2_202405192000/S2444382424000646/v2_202405192000/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "S2444382424001330" "issn" => "24443824" "doi" => "10.1016/j.gastre.2023.03.009" "estado" => "S300" "fechaPublicacion" => "2024-03-01" "aid" => "2064" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2024;47:268-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Hepatomegaly from pancreatic cancer metastasis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "268" "paginaFinal" => "269" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hepatomegalia por metástasis de cáncer de páncreas" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 475 "Ancho" => 905 "Tamanyo" => 102748 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A and B) Contrast-enhanced multi-detector computed tomography coronal MPR (A) and VRT (B) reconstruction that confirm multiple hepatic nodules (arrows) and a huge hepatomegaly up to pelvis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Umberto G. Rossi, Andrea DeCensi" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Umberto G." "apellidos" => "Rossi" ] 1 => array:2 [ "nombre" => "Andrea" "apellidos" => "DeCensi" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382424001330?idApp=UINPBA00004N" "url" => "/24443824/0000004700000003/v2_202405192000/S2444382424001330/v2_202405192000/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Gastric hamartomatous inverted polyp coexisting with inflammatory fibroid polyp" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "270" "paginaFinal" => "271" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Yu Tang, Xianfei Zhong, Zhengyu Cheng" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Yu" "apellidos" => "Tang" ] 1 => array:2 [ "nombre" => "Xianfei" "apellidos" => "Zhong" ] 2 => array:4 [ "nombre" => "Zhengyu" "apellidos" => "Cheng" "email" => array:1 [ 0 => "chengzhengyu721@tom.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Gastroenterology, People's Hospital of Leshan, No. 238, White Tower Road, Leshan 614000, Sichuan, China" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pólipo gástrico hamartomatoso invertido coexistente con pólipo fibroide inflamatorio" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 832 "Ancho" => 987 "Tamanyo" => 95019 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Endosonographic image depicted a hypoechoic mass protruding from deep mucosa into a unilocular submucosal cyst.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 43-year-old woman undergoing screening esophagogastroduodenoscopy was found to have a 3.0<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>2.5<span class="elsevierStyleHsp" style=""></span>cm hemispheric bulge with a smooth surface except for a central, flat, red elevation in the gastric body (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Endoscopic ultrasound (EUS) demonstrated a hypoechoic mass protruding from deep mucosa into a unilocular anechoic cyst located in the submucosal layer (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Based upon EUS findings, endoscopic submucosal dissection (ESD) was performed (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). Histopathology revealed proliferation of foveolar glands, pseudo-pyloric glands, multifocal dilated cystic glands, and smooth muscle bundles with a downward submucosal growth pattern. The inverted, hyperplastic mucosa was associated with an inflammatory fibroid polyp which protruded into a prominent cyst enclosed by the inner mucosal lining (<a class="elsevierStyleCrossRef" href="#fig0020">Fig. 4</a>). Atypia was not observed. The final diagnosis was a gastric hamartomatous inverted polyp (GHIP) associated with an inflammatory fibroid polyp (IFP).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The coexistence of GHIP with IFP is extremely rare. We speculate that the accumulation of secretions from the inverted hyperplastic mucosal glands resulted in the observed submucosal mass, and as well, resulted in an inflammatory process which led to the development of an inflammatory fibroid polyp. EUS is crucial to therapeutic decision-making and ESD provides en bloc resection for thorough pathological evaluation, which is mandatory since GHIP is reportedly related to adenocarcinoma despite its typically benign nature.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">1</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Informed consent</span><p id="par0015" class="elsevierStylePara elsevierViewall">Informed consent was obtained from the patient to publish the information and images.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">This work was supported by the Sichuan Provincial Medical Science Program (Grant No. S22065) and the Municipal Key Science and Technology Program of Leshan (Grant No. 22SZD074).</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Informed consent" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 3 => array:2 [ "identificador" => "xack745680" "titulo" => "Acknowledgment" ] 4 => array:1 [ "titulo" => "Reference" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 859 "Ancho" => 987 "Tamanyo" => 155224 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Endoscopic image showed a smooth-surfaced hemispheric gastric bulge with a central reddish flat mucosal elevation.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 832 "Ancho" => 987 "Tamanyo" => 95019 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Endosonographic image depicted a hypoechoic mass protruding from deep mucosa into a unilocular submucosal cyst.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 430 "Ancho" => 2020 "Tamanyo" => 132275 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The endoscopic submucosal dissection (ESD) process.</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 490 "Ancho" => 1555 "Tamanyo" => 141871 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Histopathology revealed multiple mucosal components proliferating toward the submucosa (red arrows). An inflammatory fibroid polyp (black arrows) protruded from the inverted hyperplastic mucosa into a prominent cyst enclosed by the inner mucosal lining.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0010" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gastric inverted hyperplastic polyp mimicking a papilla" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Matsui" 1 => "H. Kashida" 2 => "M. Kudo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1038/ajg.2017.498" "Revista" => array:5 [ "tituloSerie" => "Am J Gastroenterol" "fecha" => "2018" "volumen" => "113" "paginaInicial" => "462" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29610503" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack745680" "titulo" => "Acknowledgment" "texto" => "<p id="par0030" class="elsevierStylePara elsevierViewall">The authors thank David D. Markowitz, MD, Associate Clinical professor of Medicine, from College of Physicians and Surgeons, Columbia University, for language assistance.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004700000003/v2_202405192000/S2444382424001342/v2_202405192000/en/main.assets" "Apartado" => array:4 [ "identificador" => "75461" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004700000003/v2_202405192000/S2444382424001342/v2_202405192000/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382424001342?idApp=UINPBA00004N" ]
Journal Information
Image of the month
Gastric hamartomatous inverted polyp coexisting with inflammatory fibroid polyp
Pólipo gástrico hamartomatoso invertido coexistente con pólipo fibroide inflamatorio
Yu Tang, Xianfei Zhong, Zhengyu Cheng
Corresponding author
Department of Gastroenterology, People's Hospital of Leshan, No. 238, White Tower Road, Leshan 614000, Sichuan, China