How to deal with the recurrence of gastric polyps?

Written by Jiang Guo Ming
Gastroenterology
Updated on February 10, 2025
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The use of gastroscopy is becoming increasingly common, especially the implementation of painless gastroscopy, leading to a growing number of people undergoing this examination. Consequently, the detection rate of gastric polyps has also risen year by year. Generally, gastric polyps mainly include adenomatous polyps and hyperplastic polyps, among other types. Recurrence of gastric polyps is also a common occurrence. Typically, it is advocated to remove gastric polyps via endoscopic procedures such as ligation or electrocautery, etc. Furthermore, after the removal of polyps, it is routinely advised to regularly re-examine with gastroscopy. If polyps recur, they can be removed again under gastroscopy, usually not posing any major issue.

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Written by Zhu Dan Hua
Gastroenterology
1min 14sec home-news-image

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.

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Written by Zhu Dan Hua
Gastroenterology
1min 9sec home-news-image

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 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 Zhu Dan Hua
Gastroenterology
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Do inflammatory gastric polyps need to be removed?

Gastric polyps are relatively common in clinical practice, and generally, patients do not exhibit specific symptoms. They are often discovered during physical examinations or incidental gastroscopic exams. When numerous or particularly large gastric polyps are present, a gastroscopic biopsy is usually conducted at the same time as the gastroscopy. If the pathology biopsy indicates that the polyp is an inflammatory gastric polyp, especially if it is small, less than 1 centimeter, we recommend regular observation without actively pursuing endoscopic removal. Some patients' inflammatory polyps may regress on their own. For treatment, one can choose gastric protective medication for symptomatic observation, with a gastroscopy follow-up every six months to a year. Of course, if the polyp is considered to be inflammatory and particularly large, greater than two centimeters, we recommend removal by endoscopy as a precautionary measure, despite the fact that the risk of cancer transformation in gastric polyps is relatively small but possible.

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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.