12指腸息肉：是否需要進一步檢查？-肝膽腸胃科

12指腸息肉相關問題？

去年110/12/08號,做過胃鏡,除了有淺表性胃炎外,在12指腸,靠近幽門的球莖部位,有發現許多小的息肉,醫生有切片做檢查,是屬於增生性息肉,想請問這需要積極去做檢查嗎?附相關檢查報告這是切片報告PATHOLOGICAL DIAGNOSIS: A. Intestine, small, duodenum, AW of bulb, endoscopic biopsy, --- hyperplastic polyp B. Esophagus, EG junction, endoscopic biopsy, --- gastric metaplasia; no evidence of intestinal metaplasia GROSS DESCIPTION: The specimen A consists of a tissue fragment measuring 0.1 x 0.1 x 0.1 cm, fixed in formalin. Grossly, it is gray and soft. All for section and labeled as: A. The specimen B consists of a tissue fragment measuring 0.3 x 0.2 x 0.1 cm, fixed in formalin. Grossly, it is gray and soft. All for section and labeled as: B. MICROSCOPIC DESCRITIN: #A Sections of duodenum show hyperplastic glands. No malignancy is seen. #B Sections of the junction show presence of gastric mucosa. Neither intestinal metaplasia nor goblet cells are present in available sections. There is no evidence of glandular dysplasia or invasive malignancy.這是檢查報告:Upper GI panendoscopClinical diagnosis :EpigastralgiaEndoscope :Using Olympus GIF-Q260 endoscopyPre - medication :Buscopan (hyoscine-N-butylbromide) 20mg IMEsophagus :Some erosive mucosal breaks (＞5mm) were found at low part. A small IIa polypwas seen at EG junction. Biopsy was done (B). Hemoclip x1 applied for woundoozingStomach :Diffuse hyperemic change was noted at antrum and low body. Clo test wasdone.Duodenum :Several small polyps were seen at AW of bulb near pylorus. Biopsy was done(A) with Flexibite disposable porcepsDiagnosis :Reflux esophagitis, LA GrB.Esophageal polyp, EG junction. S/P biopsy (B)Superficial gastritis, antrum and low body. S/P Clo testGastric erosions, antrum.Duodenal polyps, small, AW of bulb. S/P biopsy (A)Comment :CLO TestBiopsy 25004c x 2. Flexibite disposable porcepsReported圖片位置:https://drive.google.com/file/d/1CacE_WHEqDcdummV6XR5wX5-bS1es4PE/view?usp=sharing