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Fundic Gland Polyp

Fundic gland polyps are typically multiple and sessile, located in the gastric fundus and/or body, not the antrum. Like hyperplasatic gastric polyps, they are typically discovered as incidental findings at endoscopy. They are not true polyps, are asymptomatic and have no malignant potential. They are more common in patients receiving proton pump inhibitors.

Typical fundic gland polyps.

If polypectomy is performed, the Roth Basket is particularly useful for retrieving polypoid lesions from the stomach.

Multiple large fundic gland polyps in a 58 year-old woman taking a proton pump inhibitor for acid reflux disease.

Left: Multiple fundic gland polyps in the fundus and proximal gastric body of a 77 year-old women with chronic GERD.

Right: Single 4-5 mm sessile fundic gland polyp in the fundus of a 61 year-old man undergoing endoscopy for evaluation of abdominal pain.

Multiple fundic gland polyps in the fundus of a 58 year-old woman with familial adenomatous polyposis. None of the gastric polyps was adenomatous on biopsy.

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