Do stomach polyps need treatment?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 22, 2024
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The treatment of gastric polyps generally depends on the size and number of the polyps. If the gastric polyp is relatively small, conservative treatment and regular follow-up are usually sufficient. If there is no change in the polyp during regular gastroscopy follow-ups, we generally do not need to intervene. However, if the polyps increase in number or size, especially if they are larger than 1 centimeter, we recommend that patients undergo timely endoscopic treatment. Typically, endoscopic removal is sufficient. In fact, gastric polyps are relatively common in clinical practice, and most gastric polyps are benign lesions. Prompt endoscopic removal is usually sufficient. Most patients may not have specific discomforts, such as abdominal pain, etc. Gastric polyps are often found incidentally during gastroscopy or physical examinations. Therefore, for the diagnosis of gastric polyps, we mainly rely on gastroscopy.

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Written by Zhu Dan Hua
Gastroenterology
1min 12sec home-news-image

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 Huang Gang
Gastroenterology
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Can people with gastric polyps drink yogurt?

If polyps are present in the stomach, it is mainly considered to be related to chronic gastritis, which is often encountered. Frequent inflammation in the stomach can stimulate the gastric mucosa to produce polyps, which are primarily a form of inflammatory change. Therefore, it is important to have a follow-up gastroscopy soon. If polyps are found in the stomach, it is best to undergo excision surgery under gastroscopy as soon as possible, as polyps in the stomach over time can easily lead to gastric cancer, which is a significant factor in the development of gastric cancer. Therefore, we should regularly have gastroscopy checks. Moreover, if symptoms like acid reflux, belching, and stomach pain often occur, try to avoid consuming irritating foods. It is important to pay attention to a bland diet and regular eating habits to prevent the recurrence or worsening of the condition.

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Written by Zhu Dan Hua
Gastroenterology
1min 27sec home-news-image

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 Zhu Dan Hua
Gastroenterology
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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.

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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.