Do gastric polyps require surgery?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 06, 2024
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Gastric polyps are relatively common in clinical settings. Generally, patients do not exhibit symptoms and discover the condition either during physical examinations or incidental gastroscopic examinations. Of course, a small portion of patients may experience certain gastrointestinal symptoms, manifesting as dull pain in the upper abdomen, bloating, nausea, etc. The treatment for gastric polyps generally varies depending on the location, size, and number of the polyps. If the polyps are small, particularly less than 0.5 cm, it is recommended that patients undergo regular observations and gastroscopic examinations every six months to a year. If there are no significant changes in the polyps, symptomatic treatment may not be immediately necessary. However, if the polyps are larger, especially if they are numerous or larger than 1 cm, it is advisable for patients to have them removed via gastroscopy for biopsy to rule out the possibility of malignant changes. Therefore, for patients with gastric polyps, it is recommended to have regular follow-ups and consider endoscopic removal, which is generally a relatively safe procedure that should not be overly worrisome.

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Written by Zhu Dan Hua
Gastroenterology
1min 11sec home-news-image

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 Wu Hai Wu
Gastroenterology
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Is it serious if a gastric polyp becomes ulcerated?

A deteriorated gastric polyp is quite serious. Once a gastric polyp has deteriorated, active treatment is necessary because if not promptly treated, it could lead to complications such as bleeding, infection, or perforation, which could endanger the patient's life. Once a gastric polyp is definitively diagnosed, proactive intervention such as polyp removal is needed. Endoscopic polypectomy can be performed. If the polyp is large and has a wide base, making it difficult to remove via endoscopy, then surgical intervention may be required.

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Written by Zhu Dan Hua
Gastroenterology
1min 14sec home-news-image

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 Wu Hai Wu
Gastroenterology
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How to control and treat gastric polyps.

The treatment of gastric polyps includes minimally invasive polyp removal via endoscopy and surgical treatment. If the polyp is small and pedunculated, it can be removed by endoscopy. After removal, treatments to suppress stomach acid and protect the stomach lining are administered. If the polyp is large and sessile, making endoscopic removal difficult, surgical intervention may be necessary. After the removal of the polyp, it is routine to conduct pathological tests, and regular follow-up gastroscopies are necessary to confirm whether there is a recurrence of the polyps.

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Written by Zhu Dan Hua
Gastroenterology
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Gastric polyps should see which department?

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.