Video Endoscopic Sequence 1 of 11.

Gastric Polyposis.

 This 42 year-old female, in the screening of anemia a gastric polyposis was found.

Video Endoscopic Sequence 2 of 11.

 These are the most common epithelial polyps of the
 stomach and are found throughout the stomach, ranging in
 size from a few millimeters to centimeters. Hyperplastic
 polyps have been reported in association with various types
 of chronic gastritis, particularly autoimmune gastritis,
 Helicobacter pylori gastritis, and the postantrectomy
 stomach.

Video Endoscopic Sequence 3 of 11.

Multiple polyps are observed at the antrum, the body and few at the fundus.

Video Endoscopic Sequence 4 of 11.

 The frequency of gastric polyps is gradually increasing due
 to widespread use of endoscopic examinations. Any
 discretelesion protruding into the lumen of gastrointestinal
 (GI) tract.appeared at endoscopy is called as “polypoid
 lesion”.However, a polyp is defined as a proliferative or
 neoplastic lesion of gastrointestinal mucosal layer.
 Although endoscopic appearances of some polyps may be
 diagnostic, the term “polyp”should not be used for every
 discrete protrusions identified at endoscopy unless
 histopathologically confirmed.

Video Endoscopic Sequence 5 of 11.

 Gastric polyps include hyperplastic polyps, adenomatous
 polyps, fundic gland polyps, and inflammatory fibroid
 polyps. Unlike polyps of the colon, gastric polyps are rare
 and have an incidence of less than 1%.

Video Endoscopic Sequence 6 of 11.

Endoscopy-Assisted Resection for Multiple Polyps.

 Endoscopic polypectomy of multiple polyps are performed.

Video Endoscopic Sequence 7 of 11.

The bleeding of the stalk was cauterized.

Video Endoscopic Sequence 8 of 11.

 Endoscopic excision of gastric polyps provides a minimally
 invasive approach to diagnosis and treatment. Polyps
 smaller than 2 cm are easily snared. Larger polyps or
 sessile polyps are best removed operatively to obtain a
 clear margin and complete removal. Occasionally, staged
 piecemeal endoscopic removal can be performed in
 patients with severe comorbidities. Wide, local, or
 segmental resection of the stomach may be performed for
 multiple polyps, depending on their histology and location.
 Gastrectomy is justified in patients with diffuse
 involvement of the stomach by polyps, which can make
 detection of a synchronous focus of cancer difficult.

Video Endoscopic Sequence 9 of 11.

 Hyperplastic polyps are by far the most common histologic
 type, and they can vary in location, number, and size. Most
 are less than 2 cm. Although these polyps harbor no
 malignancy, they may be accompanied by atrophic gastritis,
 which predisposes the nonpolypoid mucosa to malignant
 transformation. Multiple hyperplastic polyps are found in
 Ménétrier disease. The histology of these polyps is
 different from that of colorectal polyps in that it shows
 submucosal edema and faveolar hyperplasia.

Video Endoscopic Sequence 10 of 11.

 Adenomatous polyps (tubular and villous) are usually
 solitary lesions in the antrum. They have atypical cells and
 are associated with adenocarcinoma of the stomach. This
 association is strongest in polyps greater than 2 cm in
 diameter. The overall incidence of malignant transformation
 in adenomatous polyps is about 3.4%.

Video Endoscopic Sequence 11 of 11.

 Argon Plasma Coagulator (APC) was used to reinforced the
 coagulation and also as ablative therapy .