Dr. Ertan Beyatlı

How to recognize stomach polyps?

(Update: ) - Digestive System Diseases

Stomach Polyps can be found by chance in approximately 5% of patients who have undergone an endoscopy procedure.

Of these polyps 2% early stomach cancer comprising.

What is Stomach Polyp?

Polyps formation in the stomach are benign masses in the form of single or multiple flesh, which are mostly seen in adults. Those located close to the exit part of the stomach (pylor) can cause obstruction and cause symptoms.

polyp detected during endoscopy. The polyp is in an area close to the exit hole (pylorus) of the stomach and functions as a cover.
polyp detected during endoscopy. The polyp is in an area close to the exit hole (pylorus) of the stomach and functions as a cover.

Types of stomach polyps

Histologically, there are three main types:

  • Hyperplastic
  • Adenomatous
  • Inflammatory

Hyperplastic Polyps (80%)

It originates from the tissues covering the inner surface of the stomach. also diminutif known as a polyp. It is not linked to stomach cancer (so true neoplasm is not).

Adenomatous polyps (19%)

Approximately 30% of these polyps contain a cancer focus (adenocarcinoma, malignant tumor). Even if it is benign, 20% of cancer can be found elsewhere in the stomach. As the size of the polybin increases, the risk of cancer also increases. Polyps with stalks and less than 2 cm in diameter are mostly benign. However, about 10% of benign adenomatous polyps can develop into malignant polyps over time. It may recur after it is taken.

Inflammatory (fibroid) Polyps (1%)

It is found by chance. Once taken, it does not repeat. Therefore, follow-up is not recommended.

Why does polyp occur?

Stomach polypsoccurs due to damage to the stomach lining. The most common causes of stomach polyps are:

  • Chronic stomach inflammation. Gastritis This condition, also known as hyperplastic polyps and adenomas, can result. Hyperplastic polyps are unlikely to be cancerous, but those> 1 cm larger have a greater risk. Adenomas are the least common type of stomach polyp, but they are the most likely to be cancerous. Therefore, they are often taken.
  • Familial adenomatous polyposis. This rare, inherited syndrome causes certain cells in the inner lining of the stomach to a specific type of polyps called fundic gland polyps. When associated with this syndrome, fundic gland polyps are removed as they can become cancerous. Familial adenomatous polyposis can also cause adenomas.
  • Regular use of some stomach medications. Fundic gland polyps are common among people who regularly take proton pump inhibitors to reduce stomach acid. These polyps are usually small and not a cause for concern. Fundic gland polyps larger than about 1 cm in diameter carry a small risk of cancer, so your doctor may recommend discontinuing proton pump inhibitors or removing the polyp.

Risk factors

Stomach polyps Factors that increase your chances of developing include:

  • Age. Stomach polyps are as common as in middle and advanced age groups.
  • Bacterial stomach infection. Helicobacter pylori (H. pylori) bacteria are a common cause of gastritis, contributing to hyperplastic polyps and adenomas.
  • Familial adenomatous polyposis. This rare, hereditary syndrome, including stomach polyps, Colon cancer increases the risk and other conditions.
  • Some medications Long-term use of proton pump inhibitors, drugs used to treat gastroesophageal reflux disease, has been attributed to fundic gland polyps.

What are the symptoms of polyps in the stomach?

It does not show any symptoms in the first stages. Over time, as the polyps enlarge and grow, they begin to show symptoms with bleeding or ulcers.

  • Ache. In the stomach pain and tenderness, indigestion, feeling of fullness
  • Bleeding. Stomach Bleeding (occult blood in stool, bleeding from the rectum, and bleeding from the mouth in later stages)
  • Anemia (anemia)
  • Nausea. unexplained chronic nausea sentimental

As a result of bleeding from the surface of the polyp, chronic blood loss or anemia may develop due to incomplete iron absorption.

In more than 90% of the patients, it was found that sufficient acid secretion did not occur despite gastric stimulation. Although a few of them had megaloblastic anemia, a deficiency in vitamin B absorption was found in 25%.

How is polyp diagnosed?

Tests and procedures used to diagnose stomach polyps include:

  • Endoscopyto see the inside of the stomach
  • Biopsy. Biopsy should be taken from all patients during endoscopy.

How is polyp treatment done?

Some pedunculated polyps can be easily removed endoscopically.

The radiologist or cytologist suspects cancer, or 1 cm in diameterSurgical intervention for polyps larger than (Endoscopic Polypectomy) can be applied.

Stomach polyps - polypectomy

Treatment depends on the type of stomach polyps you have:

  • Small polyps that are not adenomas. These polyps may not require treatment. They usually don't cause signs or symptoms and rarely become cancerous. Your doctor may recommend periodic monitoring and follow-up so any enlarged polyps causing signs and symptoms can be removed.
  • Large polyps. (diameter> 1cm) These polyps may need to be removed. Most stomach polyps can be removed during endoscopy.
  • Adenomas. These polyps can become cancerous and are usually removed during endoscopy.
  • Familial adenomatous polyposis associated with polyps. These polyps are removed because they can become cancerous.

Your doctor to check for recurrent polyps Endoscopy Follow-up may suggest.

Treatment of H. pylori infection

If you have gastritis caused by H.pylori bacteria in your stomach, your doctor is likely to with antibiotics He will recommend treatment. Treatment of an H. pylori infection can cause hyperplastic polyps to disappear and also stop polyps from recurring. For more detailed information about H. Pylori therapy: What is Helicobacter Pylori?

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