Can gastric polyps recur?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 15, 2024
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For patients with gastric polyps, it is necessary to regularly re-examine the gastroscopy to be alert for recurrence after endoscopic removal, as some patients are likely to relapse clinically. Therefore, it is mandatory for patients with gastric polyps to have a gastroscopy check every six months to a year. Of course, it is advised that patients further screen for Helicobacter pylori, and if Helicobacter pylori is positive, proactive anti-Helicobacter pylori treatment is recommended. Clinically, gastric polyps are relatively common and are usually benign lesions, so there is no need to overthink or bear a heavy psychological burden. Patients generally seek medical advice for abdominal discomfort and this is most commonly seen in the department of gastroenterology, presenting symptoms such as bloating, abdominal pain, belching, and even nausea. Therefore, it is recommended that such patients undergo thorough gastroscopic examination, as the diagnosis of gastric polyps mainly relies on gastroscopy.

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Written by Ren Zheng Xin
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Are stomach polyps likely to lead to stomach cancer?

Gastric polyps are precancerous lesions of gastric cancer, posing a significant risk of developing gastric cancer. There are several types of gastric polyps, including fundic gland polyps, hyperplastic polyps, and adenomatous polyps. Adenomatous polyps, in particular, have a higher rate of malignant transformation, with 11% of patients developing gastric cancer through dysplastic growth over four years. Therefore, patients with gastric polyps should undergo early removal under gastroscopy, followed by pathological classification. After treatment, regular gastroscopic examinations are necessary. It is also important to adjust the diet, avoid eating moldy food, and reduce consumption of salty and pickled foods, while increasing intake of fresh foods, fresh green vegetables, and fruits, and maintaining a positive mental attitude.

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Written by Zhu Dan Hua
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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 Si Li Li
Gastroenterology
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Can stomach polyps be ignored?

Gastric polyps should not be ignored. If gastric polyps are detected, it is recommended to promptly undergo an endoscopic polypectomy. Typically, when a gastroscopy is performed and gastric polyps are discovered, a biopsy is necessary to conduct a pathological examination to determine the nature of the gastric polyps. Common types of gastric polyps include inflammatory and adenomatous, the latter being more common. Adenomatous polyps have a certain potential for malignant transformation and can easily develop into adenocarcinoma. Therefore, upon discovering gastric polyps, regardless of the type, timely endoscopic polypectomy should be performed to prevent the potential for malignant transformation of the polyps. Additionally, in the presence of gastric polyps, the diet should be light and easily digestible. Foods that are greasy, rich, or difficult to digest should be avoided.

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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 Zhu Dan Hua
Gastroenterology
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Can stomach polyps be felt by touch?

Gastric polyps are relatively common in gastroenterology and are generally asymptomatic. However, if the polyps are relatively large or numerous, symptoms such as early satiety, abdominal distension, and nausea may occur. Gastric polyps cannot be detected through physical examination, which generally yields negative results. There may be some abdominal tenderness, but gastric polyps cannot be detected through physical examination. The diagnosis of gastric polyps primarily relies on completing a gastroscopic examination, which can provide reference values for the size, scope, and quantity of the polyps. Therefore, gastric polyps cannot be detected by physical examination, and it is recommended to complete a gastroscopic examination for further clarification. Thus, as mentioned above, gastric polyps cannot be detected by physical examination; a comprehensive gastroscopic examination is recommended.