Can stomach polyps be ignored?

Written by Si Li Li
Gastroenterology
Updated on April 06, 2025
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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 Huang Gang
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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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Do gastric polyps always need to be removed?

Gastric polyps first require a gastroscopy examination, combined with pathological examination to determine the nature of the lesion, because there are many types of gastric polyps, such as hyperplastic polyps, inflammatory polyps, hamartomatous polyps, fundic gland polyps, and adenomatous polyps, etc. After a definitive diagnosis, symptomatic treatment can be applied. Common inflammatory or hyperplastic polyps are related to Helicobacter pylori infection. If they are relatively small, eradication of Helicobacter pylori and regular follow-up can be performed. If the polyps are adenomatous, they generally have a family history, and there is a possibility of malignancy in such cases, generally requiring removal via gastroscopy. Additionally, if the polyp exceeds two centimeters in size, regardless of the type, removal is generally advocated.

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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.

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Written by Ren Zheng Xin
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Postoperative care for gastric polyp electrocautery

After undergoing endoscopic polypectomy for gastric polyps, dietary adjustments should be made according to the number and severity of the polyps removed, as well as the patient's constitution. Generally, food should be prohibited for a few days post-surgery to minimize the burden on the gastrointestinal tract. Nutritional support can be provided parenterally, especially for elderly bedridden patients who should avoid pressure sores. It is important to frequently turn elderly patients, and wipe their backs and buttocks. About two weeks after surgery, the patient can transition to a normal diet, including milk and other nutritional supplements. The healing process for gastric polyp removal by electrosurgery typically takes about 6-8 weeks.

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Must gastric polyps be surgically removed?

Gastric polyps do not necessarily require surgical removal; regular follow-up appointments can be sufficient. Clinically, gastric polyps are generally small, especially those under 0.5 cm, and we primarily focus on regular check-ups, performing a gastroscopy every six months to a year. Of course, if the polyps increase in size or number, particularly those larger than 1 cm, we recommend removal via endoscopy. Generally, gastric polyps are benign lesions, so there is no need for excessive worry. They are commonly observed in clinical practice and most patients do not exhibit any specific symptoms. However, a small number of patients might experience stomach discomfort, bloating, stomach pain, nausea, belching, or indigestion, among other issues. Therefore, in terms of treatment, besides endoscopic removal or regular observation, symptomatic relief can also be achieved with the use of gastroprotective medication if the patient exhibits certain symptoms. (Note: The use of medications should be carried out under the guidance of a doctor.)