Symptoms of gastric polyps

Written by Zhu Dan Hua
Gastroenterology
Updated on September 08, 2024
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Gastric polyps are also relatively common in clinical practice, especially in the outpatient department of gastroenterology. The symptoms of gastric polyps can generally be divided into several types. The first type is asymptomatic; patients undergo gastroscopy due to abdominal discomfort or incidental findings, discovering gastric polyps that are generally small, usually less than 0.5 cm. From a treatment perspective, regular observation can be sufficient without intervention, and a gastroscopy recheck every six months to a year is advisable. However, a small portion of patients may experience certain symptoms such as nausea, early satiety, burping, and belching, etc. Generally, the symptoms are mild and do not affect daily life or sleep, so there is no need for undue concern. The treatment of gastric polyps generally falls into two categories; the first is regular observation, possibly because the polyps are relatively small; the second, if the polyps are larger, or if they have been found to increase in size during regular check-ups, considering removal through endoscopy might be necessary.

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Written by Wu Hai Wu
Gastroenterology
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How to control and treat gastric polyps.

The treatment of gastric polyps includes minimally invasive polyp removal via endoscopy and surgical treatment. If the polyp is small and pedunculated, it can be removed by endoscopy. After removal, treatments to suppress stomach acid and protect the stomach lining are administered. If the polyp is large and sessile, making endoscopic removal difficult, surgical intervention may be necessary. After the removal of the polyp, it is routine to conduct pathological tests, and regular follow-up gastroscopies are necessary to confirm whether there is a recurrence of the polyps.

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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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How often should gastric polyps be rechecked?

Patients with gastric polyps are generally advised to have a gastroscope re-examination every six months to a year. If the polyp does not grow during the swelling process, and remains roughly the same, we recommend continuing with follow-up. Of course, if the polyps increase in number or size, especially if larger than one centimeter, we recommend timely endoscopic removal. Gastric polyps are actually a common condition clinically, and patients generally do not have any specific symptoms. Most patients discover the polyps incidentally during a gastroscopy. Most gastric polyps we find are benign, but a small proportion of patients may progress to cancer over time. Therefore, patients with gastric polyps do not need to be overly concerned, just undergo regular gastroscopic re-examinations, and perform gastroscopic removal when necessary. The exact cause of gastric polyp formation is not clear, and patients may undergo further tests, such as screening for Helicobacter pylori. If Helicobacter pylori infection is detected, we recommend treatment for Helicobacter pylori.

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Written by Zhu Dan Hua
Gastroenterology
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Are there many people with gastric polyps?

Gastric polyps are relatively common in clinical settings and have a higher incidence, so patients should not feel overly burdened psychologically. Clinically, gastric polyps are often identified when patients seek medical help for abdominal discomfort and undergo gastroscopy. The main symptoms include discomfort in the upper abdomen, such as bloating, abdominal pain, nausea, and belching. Gastric polyps are generally considered benign lesions, and regular follow-up examinations are usually sufficient. During these follow-ups, if it is found that the polyps have increased in number or size, especially if they are larger than one centimeter, they can then be removed through endoscopic surgery. Most patients can tolerate this well and it is considered a safe and effective method for diagnosis and treatment, so patients should not be overly concerned or overthink the situation. The occurrence of gastric polyps is increasingly observed clinically, primarily through gastroscopy, and it is recommended to undergo a gastroscopy every six months to a year for follow-up.

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Written by Jiang Guo Ming
Gastroenterology
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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.