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Gastric polyp
Do gastric polyps require surgery?
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.
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.
Do you need anti-inflammatory medication after gastric polyp surgery?
The treatment of gastric polyps generally involves endoscopic removal. After the surgery, patients are usually advised to fast to protect the stomach and anti-inflammatory treatment is typically not necessary. Normal eating can usually resume after one to two days, and stomach protection might be appropriate for about 2 to 4 weeks, generally without the need for anti-inflammatory medication. Therefore, anti-inflammatory treatment is usually not necessary. The incidence of gastric polyps is increasing, and most patients do not exhibit specific symptoms. These polyps are often discovered incidentally during physical exams or gastroscopic examinations. Typically, gastric polyps are not large; those smaller than 0.5 cm can be observed, while those larger than 1 cm, or those that increase in size or number over time, can be treated endoscopically. Currently, endoscopic treatment of gastric polyps is a safe and effective method. Most of these polyps are benign, with fewer being malignant, so patients need not worry excessively.
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.
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.
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.