Do you need anti-inflammatory medication after gastric polyp surgery?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 04, 2024
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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.

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Written by Jiang Guo Ming
Gastroenterology
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Are stomach polyps scary?

As people's living conditions continue to improve and medical technology advances, the general public's demand for better health is increasing, correspondingly raising the rate of routine gastroscopic examinations. Therefore, the incidence of gastric polyps has significantly increased compared to the past. Discovering gastric polyps is not necessarily alarming. There are adenomatous polyps and hyperplastic polyps; only adenomatous polyps, if left untreated over a long period, might develop into malignant tumors. Generally, if polyps are detected and treated in a timely manner, there should be no issues. Polyps can be excised under gastroscopy, a procedure that is minimally invasive, quick, and has few side effects. After treatment, regular gastroscopic follow-ups can be conducted without major concerns.

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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 Ren Zheng Xin
Gastroenterology
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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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Written by Zhu Dan Hua
Gastroenterology
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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.

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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.