Gastric polyps should see which department?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 08, 2024
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Gastric polyps are a common clinical symptom, generally handled in hospitals, and can be treated in the department of gastroenterology. First, if the gastric polyp is asymptomatic and small, it can be periodically observed with follow-up visits in the gastroenterology outpatient clinic. Second, if the gastric polyp is large and has complications such as bleeding on the surface, gastrointestinal endoscopy can be chosen for examination and endoscopic treatment in the department of gastroenterology. If the gastric polyp does not have other symptoms but is accompanied by abdominal pain, bloating, etc., symptomatic treatment in gastroenterology can be chosen, including pain relief and stomach protection. Therefore, if gastric polyps are found, the first choice is symptomatic treatment in gastroenterology, or endoscopic treatment can be selected.

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Written by Zhu Dan Hua
Gastroenterology
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How often should gastric polyps be rechecked?

Patients with gastric polyps are generally advised to have a gastroscope re-examination every six months to a year. If the polyp does not grow during the swelling process, and remains roughly the same, we recommend continuing with follow-up. Of course, if the polyps increase in number or size, especially if larger than one centimeter, we recommend timely endoscopic removal. Gastric polyps are actually a common condition clinically, and patients generally do not have any specific symptoms. Most patients discover the polyps incidentally during a gastroscopy. Most gastric polyps we find are benign, but a small proportion of patients may progress to cancer over time. Therefore, patients with gastric polyps do not need to be overly concerned, just undergo regular gastroscopic re-examinations, and perform gastroscopic removal when necessary. The exact cause of gastric polyp formation is not clear, and patients may undergo further tests, such as screening for Helicobacter pylori. If Helicobacter pylori infection is detected, we recommend treatment for Helicobacter pylori.

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Written by Zhu Dan Hua
Gastroenterology
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Symptoms of gastric polyps

Gastric polyps are also relatively common in clinical practice, especially in gastroenterology outpatient clinics. Gastric polyps generally do not show symptoms, and are found in patients undergoing gastroscopic examinations or physical check-ups. Typically, gastric polyps are not large. However, a small proportion may be accompanied by abdominal discomfort, manifesting as hidden upper abdominal pain, bloating, nausea, belching, and so on. The treatment of gastric polyps can generally be divided into two types. For the first type, where the polyps are small, some less than 0.5 cm, regular observation can be adopted, with a gastroscopy performed every six months to a year. If the patient experiences abdominal discomfort, symptomatic treatment can be given, along with medications to protect the stomach and promote digestion. However, if the patient has multiple polyps, especially larger ones exceeding 1 cm, it is advisable to undergo a gastroscopic polypectomy, followed by regular follow-up visits. The results are generally good and there is no need for excessive concern.

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Written by Zhu Dan Hua
Gastroenterology
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Do stomach polyps require surgery?

Gastric polyps are relatively common in clinical settings, particularly in gastroenterology outpatient clinics. The treatment outcomes for gastric polyps are generally good, so there is no need for excessive worry. Most gastric polyps are asymptomatic, but a small number of patients may experience abdominal discomfort, bloating, pain, nausea, and decreased appetite, with the polyps being discovered during a thorough gastroscopic examination. Treatment for gastric polyps typically falls into two categories: the first involves conservative management with close follow-up monitoring. Most gastric polyps are small, less than 1 cm, and do not present any alarming symptoms, such as anemia. It is recommended that patients undergo regular comprehensive gastroscopic examinations every six months to a year. The second type of treatment involves endoscopic intervention, especially when there are numerous polyps or if polyps increase in size during follow-up, exceeding 1 cm. In such cases, gastroscopic treatment is performed, and there is no need for open surgery, so patients should not worry excessively.

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Written by Zhu Dan Hua
Gastroenterology
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Should gastric polyps be removed?

Gastric polyps are relatively common in clinical practice. For patients with gastric polyps, regular follow-up visits are the main focus, especially when the polyps are small, and particularly when they are less than 0.5 centimeters in size. We recommend that these patients have regular follow-up appointments, with a gastroscopy examination about every six months to a year being appropriate. Of course, if a patient has a history of gastric cancer and develops gastric polyps, especially larger ones over 1 centimeter in size, we recommend aggressive endoscopic removal. After removal, the polyps should be sent for examination to clarify their nature. Subsequent regular follow-up appointments are also necessary, typically involving a gastroscopy check every six months to a year. If gastric polyps continue to form, aggressive endoscopic removal treatment is advised. Therefore, treatment choices for gastric polyps vary depending on the size, location, and nature of the polyp, with regular follow-up as the primary approach and endoscopic removal when necessary.

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Written by Huang Gang
Gastroenterology
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Can people with gastric polyps drink yogurt?

If polyps are present in the stomach, it is mainly considered to be related to chronic gastritis, which is often encountered. Frequent inflammation in the stomach can stimulate the gastric mucosa to produce polyps, which are primarily a form of inflammatory change. Therefore, it is important to have a follow-up gastroscopy soon. If polyps are found in the stomach, it is best to undergo excision surgery under gastroscopy as soon as possible, as polyps in the stomach over time can easily lead to gastric cancer, which is a significant factor in the development of gastric cancer. Therefore, we should regularly have gastroscopy checks. Moreover, if symptoms like acid reflux, belching, and stomach pain often occur, try to avoid consuming irritating foods. It is important to pay attention to a bland diet and regular eating habits to prevent the recurrence or worsening of the condition.