How to deal with the recurrence of gastric polyps?

Written by Jiang Guo Ming
Gastroenterology
Updated on February 10, 2025
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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 Zhu Dan Hua
Gastroenterology
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Can gastric polyps recur?

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 Zhu Dan Hua
Gastroenterology
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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 Huang Gang
Gastroenterology
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How to deal with vomiting caused by gastric polyps?

If you have a gastric polyp and experience nausea and vomiting, symptomatic treatment can be used, including medications that aid digestion and regulate the stomach and spleen. Also, medications to control the symptoms of vomiting can be taken orally. In severe cases, it may also be necessary to go to a hospital for an antiemetic injection. It is essential to undergo a gastroscopy to determine the size of the polyp and to perform a pathological biopsy to check for malignant changes. Additionally, it is important to remove the polyp promptly, as long-term presence of the polyp in the body can easily lead to malignant transformation.

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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
1min 13sec home-news-image

Can gastric polyps be eradicated?

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.