Can gastric polyps be eradicated?

Written by Zhu Dan Hua
Gastroenterology
Updated on May 06, 2025
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If a gastric polyp is discovered during a gastroscopy in the course of a medical consultation, it is generally not a problem if it is promptly removed via endoscopy, followed by regular check-ups. Therefore, patients do not need to worry too much or bear a heavy psychological burden. Clinically, gastric polyps are relatively common and are generally considered benign lesions that can be managed with regular follow-up and endoscopic removal. Most patients visit the gastroenterology outpatient clinic due to abdominal discomfort and gastric polyps are often discovered incidentally during gastroscopy. Symptoms in most patients include upper abdominal discomfort, which can manifest as bloating, abdominal pain, nausea, belching, etc., and vary widely. Diagnosis generally relies on gastroscopy, so for patients suspected of having gastric polyps, timely gastroscopic examination is recommended. If the polyps increase in number or size, timely endoscopic removal is advisable.

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Written by Zhu Dan Hua
Gastroenterology
1min 20sec home-news-image

What should I do if a gastric polyp becomes cancerous?

If gastric polyps undergo malignant transformation, we generally refer to it as malignant tumors of the stomach, commonly known as gastric cancer. However, treatment varies depending on the size and extent of the malignant transformation of the gastric polyps. Generally, endoscopic resection is the preferred method of treatment. However, if the gastric polyps have become significantly large or deeply infiltrative, we recommend surgical intervention, such as partial gastrectomy under laparoscopy. Gastric polyps are relatively common in clinical settings, and most of them are benign. Of course, over time, a small percentage of patients may develop malignancy, commonly known as gastric cancer. Typically, for gastric cancer, endoscopic resection is the primary treatment choice, supplemented by laparoscopic surgery removal. Furthermore, if the patient shows lymphatic spread, it is considered progressive gastric cancer, and in addition to surgery, chemotherapy can be considered. Generally, the treatment outcomes for early-stage gastric cancer are quite favorable, hence it is recommended that patients pursue proactive treatment.

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Written by Jiang Guo Ming
Gastroenterology
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How to deal with the recurrence of gastric polyps?

The use of gastroscopy is becoming increasingly common, especially the implementation of painless gastroscopy, leading to a growing number of people undergoing this examination. Consequently, the detection rate of gastric polyps has also risen year by year. Generally, gastric polyps mainly include adenomatous polyps and hyperplastic polyps, among other types. Recurrence of gastric polyps is also a common occurrence. Typically, it is advocated to remove gastric polyps via endoscopic procedures such as ligation or electrocautery, etc. Furthermore, after the removal of polyps, it is routinely advised to regularly re-examine with gastroscopy. If polyps recur, they can be removed again under gastroscopy, usually not posing any major issue.

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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
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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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Are gastric polyps prone to recurrence?

For patients with gastric polyps, it is necessary to have regular follow-up gastroscopy to be vigilant against recurrence, especially in those with Helicobacter pylori infection, as recurrence of gastric polyps is relatively common. It is recommended that patients undergo a gastroscopic examination every six months to one year to assess their condition. Gastric polyps are relatively common in clinical settings and are considered a common, generally benign condition, so patients do not need to have too much psychological stress. Typically, patients undergo gastroscopy due to abdominal discomfort or changes in appetite, during which gastric polyps are discovered. The main symptoms of abdominal discomfort include upper abdominal bloating, upper abdominal pain, or nausea, etc., and appetite may decrease. Therefore, gastroscopy is a necessary diagnostic tool. The treatment of gastric polyps mainly depends on the number and size of the polyps. If the polyps are small, regular follow-up gastroscopy is possible. However, if the polyps increase in number or size, especially if they are larger than one centimeter, it is advisable to perform endoscopic removal promptly.