Gastric polyps are protruding papillary tissue that grows on the surface of the gastric mucosa. Generally speaking, gastric polyp is a limited benign elevated lesion, there are no obvious symptoms in the early stage, and the symptoms are usually diarrhea, vomiting, stomach acid, etc. If combined with erosion or ulceration, there may be upper gastrointestinal bleeding. If combined with erosion or ulceration, there may be upper gastrointestinal bleeding; if located in the pylorus with the tip of the polyp, can be detached into the pyloric canal or duodenum, and pyloric obstruction; growth in the cardia near the polyp can have difficulty in swallowing.

　　Gastric polyps are divided into two kinds: hyperplastic polyps are non-tumor polyps, generally will not occur malignant lesions, the effect is better after symptomatic treatment by internal medicine; adenomatous polyps cancer rate can reach 30% to 58.3%, biopsy can be diagnosed by histopathological examination.

　　So, what to do with polyps in the stomach? Simply put, one is endoscopic treatment, the other is anti-Hp treatment, and then surgery.

　　1. Endoscopic treatment. Endoscopic resection is the preferred method of gastric polyp treatment, mainly high-frequency electrocoagulation excision method, laser and microwave cauterization method, nylon wire ligation method and argon ion coagulation method.

　　2. Anti-Hp treatment. In recent years, studies have shown that Helicobacter pylori (Hp) infection is closely related to the occurrence of hyperplastic polyps, Hp-positive patients with hyperplastic polyps in the successful removal of Hp infection, of which about 40% of patients with complete regression of polyps.

　　According to clinical experience, it can be eradicated directly through 'Apoptosis Balance Therapy'. Eliminate the interest-causing factors in the body, remove the toxins that have accumulated in the stomach for a long time, change the environment suitable for the survival of gastric polyps, and fundamentally prevent the re-growth of gastric polyps.

　　3. Surgical treatment. The indications for surgery are: non-tibial or broad-based polyps larger than 2 cm; polyps with progressive enlargement; adenomatous polyps with heterogeneous hyperplasia, suspected cancer and carcinoma on pathological examination. The above indications should not be delayed after diagnosis and should be removed as soon as possible.

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1 polyps in the stomach must take effective treatment measures. When the patient found out there are polyps in the stomach, must take targeted treatment to control the condition, the general gastric polyps are not much, can be treated with traditional Chinese medicine, traditional Chinese medicine treatment on the improvement of the condition has a great help.

2 Polyps in the stomach must be treated consistently. The first thing to check is whether it is a malignant polyp or a benign polyp. If it is malignant polyps must cause great attention, must be timely treatment, do not delay the best time for treatment, otherwise it will lead to the deterioration of the condition, there may be malignant phenomenon.

3 polyps in the stomach if the condition is more serious, or to take surgical treatment. Before the polyp is not malignant, it must be surgically removed, so as to stop the deterioration of the condition, but also to avoid the occurrence of malignant changes. So be sure to choose the treatment according to the condition.

Caveats:

Patients must develop good habits in their normal life, learn to relax themselves, and must have a positive and optimistic mindset to face life and treatment, so that the condition can be effectively controlled.

Farmland Circle Q&A Team: Dong Jinping

Thanks for the invitation! I've answered this similar question before, and I'm re-answering it again after going for further training some time ago to gain a deeper understanding of gastrointestinal polyps and more experience.

As a gastroenterologist who performs gastroenteroscopies every day and deals with gastrointestinal polyps almost every day, here's a brief popularization of the subject in layman's terms!

What if a clinical gastroscopy reveals polyps?This has to be analyzed on a case-by-case basis.

For example, the same is true for vehicles, which are also specifically categorized as cars, trains, bicycles, motorcycles, and so on.

The same is true for polyps inside the stomach, although the gastroscopy report says it's a gastric polyp, but polyps inside the stomach can also be divided into inflammatory polyps, hyperplastic polyps, adenomatous polyps, adenomatous polyps, fundal gland polyps, and less commonly juvenile polyps, thought pancreatic, lymphoma, mesenchymal tumors, neuroendocrine tumors, and so on.

The same goes for small cars: they are also divided into specific brands: for example, Mercedes-Benz, BMW, Ferrari, Rolls-Royce, and so on.

The same is true for hyperplastic polyps: hyperplastic polyps are also categorized according to their morphology and whether they are tipped or not: non-tipped, unclear borders, non-tipped, clear borders, sub-tipped polyps, tipped polyps, and so on.

So finally back to our question above? What should I do if I find a polyp in my stomach?

In fact, polyps are not scary, because most of the polyps have no symptoms, we are mainly to prevent which polyps will develop into gastric cancer, which polyps will not be cancerous only regular review can be.

Of course, the situation is very complicated. For example, inflammatory polyps are almost non-cancerous, for example, the same is the case with fundic polyps, the cancer rate is also very low, some gastroscopists have been doing gastroscopy all their lives and have never found any cancer in fundic polyps. Some gastroscopists have never found any cancer in fundal polyps in their whole life. Another example is hyperplastic polyps, most of which are not cancerous, but some hyperplastic polyps that grow up to more than 2cm will significantly increase the probability of cancer, which is reported differently by different hospitals, with some hospitals reporting a 3% and some 8% cancer rate.

So to analyze specific problems, in general, small polyps such as 2-3mm size polyp surface smooth border clear can be 1-2 years to review, large polyps, the surface of the long and very difficult to see polyps recommended gastroscopy excision sent to the pathology.

The following pictures are of polyps found under gastroscopy:

The following small polyps are mostly hyperplastic polyps, part of the stomach gland polyps, a good light diet, do not smoke, drink, stay up late and take good care of the regular checkups can be.

The following polyp is gastric fundus gland polyp, this polyp can be cut or not cut, if it happens to be in the conditions of a better hospital to do a gastroscopy have the ability to excise this kind of polyp on the excision, if not half a year to one year to the big hospital to review once have continued to grow on the excision. Of course, to avoid the night long dream immediately review immediately excision can also be.

Large polyps like the ones below must be removed immediately because they may have mutated genetically and become cancerous.

If a gastroscopy reveals polyps inside the stomach diet should be taken care of.

Routine advice is to eat a light diet, quit smoking and limit alcohol, it is also best not to drink alcohol, long-term drinkers of poor quality alcohol has increased the probability of polyps. It is best not to overeat, do not engage in cholesterol, high-fat, high-protein diet, minimize the use of spicy, stimulating, greasy, too acidic, too alkaline food, such as pickled food, barbecue and so on.

Gastric polyp prevention

The cause of gastric polyps is unknown, but some data show that and Helicobacter pylori bacteria have a partial relationship, so in the discovery of Helicobacter pylori infection, timely anti-Helicobacter pylori treatment can prevent gastric polyps to a certain extent, at the same time, light diet, avoid overeating, avoid spicy stimulation and tobacco, alcohol, strong tea and other foods can be prevented to a certain extent, the gastric inflammation, to reduce inflammation caused by the incidence of polyps.

Patients with gastric polyps should eat a light, easy-to-digest, fluid-like, high-protein diet, avoiding spicy, stimulating, greasy, over-acidic, over-alkaline and high-fat foods.

Gastric polyps after life, pay attention to rest, avoid fatigue, avoid drinking strong tea, eat less high-fat food, while moderate exercise, accelerate gastrointestinal peristalsis, reduce the retention time of food in the stomach, reduce the burden on the stomach and intestines, to a certain extent, can reduce the recurrence of polyps.

Gastric polyps are usually not symptomatic, but are often detected during gastroscopy when the polyp grows in size, causing discomfort or vague pain in the upper abdomen, acid reflux, bloating, indigestion, loss of appetite, and other symptoms.

The causes of gastric polyps are mainly related to family genetic factors, chronic inflammation and other chronic irritation of the stomach, and dietary composition (high in fat, high in animal protein, and low in fiber).

Gastric polyps can be single or multiple. They tend to grow in the sinus area, and in some people they also occur in the upper part of the body of the stomach, the cardia and the bottom of the stomach.

Gastric polyps are divided into non-neoplastic polyps or neoplastic polyps, in which non-neoplastic polyps (including hyperplastic polyps, misshapen polyps, inflammatory polyps, ectopic polyps, etc.) do not have high chances of malignant transformation, while neoplastic polyps (including flat adenomas and papillary adenomas) have a high tendency to malignant transformation, so it is important to do gastroscopy every year even after the polyps are removed.

The treatment of gastric polyps is selected as follows depending on the specifics of the polyp, such as the results of the pathologic examination:

1. Gastroscopic polyp removal is a simple and low-cost treatment, most of which are one-time treatments, while a few need to be removed in several times. If polyps are found to recur during gastroscopy, they can be treated in time to prevent cancerous changes. Commonly used high-frequency electrocoagulation method, microwave sterilization method, laser method, nylon wire and rubber band ligation method, argon ion coagulation, cryotherapy, radiofrequency method, anhydrous alcohol injection method for treatment.

2. For the undefined benign lesions with a diameter of more than 2cm of pedunculated polyps; diameter of more than 2cm of thick pedunculated polyps or non-pedunculated polyps; polyps with thickening of the surrounding gastric wall; polyps that can not be safely resected by endoscopic laparoscopy or cauterization; and the need for surgical treatment of gastric colectomy if the pathology is an invasive malignant tumor after endoscopic resection.

3. For patients with hyperplastic gastric polyps accompanied by positive H. pylori infection, after the application of quadruple therapy to successfully eradicate H. pylori infection, according to the regression of the polyps and then do the corresponding treatment.

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Thanks for reading!

Gastric polyp is an elevated lesion on the surface of the gastric mucosa. As opposed to gastric cancer, most gastric polyps are benign (e.g. inflammatory polyps) and only a few are malignant (e.g. adenomatous polyps). They usually have no obvious symptoms when they are small and are usually detected by gastroscopy or gastrointestinal x-ray.

What should I do if I have a polyp in my stomach?

Most of the gastric polyps are benign and generally do not become cancerous, only adenomatous polyps may become cancerous, but it is impossible to tell whether they are malignant or benign only by visual observation. It is necessary to take tissue biopsy under gastroscope and send it to pathology for examination. Sometimes, in order to avoid the second operation, gastric polyps can be removed directly under endoscopy during gastroscopy.

For patients with gastric polyps lifestyle should also be adjusted, to regular work and rest, avoid excessive exercise, diet should be regular diet, avoid spicy and stimulating food, quit smoking and alcohol, if there is a combination of chronic gastritis need to be actively treated. If you have Helicobacter pylori infection, it needs to be eradicated.

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Gastric polyps are usually categorized according to pathology as hyperplastic polyps and adenomatous polyps.

1, hyperplastic polyps: mainly and inflammatory stimulation and endocrine disorders, also known as inflammatory polyps or pseudo-polyps. It is a common clinical benign gastric polyp, the malignant rate is low, accounting for only four out of a thousand. Smaller polyps can be reviewed regularly. If Helicobacter pylori is positive, it can be treated with triple or quadruple therapy for eradication. Polyps can also be reduced in size or disappear. For larger diameters of hyperplastic tissue and symptoms of bloating and dyspepsia, they can be removed gastroscopically.

2, adenomatous polyps: benign tumors of the stomach. The malignant rate is very high, according to the pathology, it is divided into adenomatous adenoma, chorioallantoic cripples, the malignant rate is 15-30%, and it is also the precancerous lesion of stomach. Some data show that it takes about 10 years for adenomatous polyps to develop into malignant tumors. Therefore, once found to be timely gastroscopic resection, such as endoscopy can not be completely resected, can be used argon gas cauterization treatment. Surgical treatment can also be taken according to the pathology.

Gastric polyps focus on prevention, first of all, appropriate exercise to improve the body's immunity. Maintain a good mindset and good living habits. Eat less raw, cold, hard and spicy food. Eat more high protein, high vitamin food. Such as lean meat, eggs, fish, milk and fruit. Avoid eating high salt, ginger, raw garlic, chili and so on. Quit smoking and drinking, and eat small meals. Make the stomach maintain a good secretion, stirring, digestion, emptying function.

Three methods: Western surgery or take Chinese medicine, Chinese medicine (Xifuxin) to eliminate;

At present, intestinal polyps in the end it is how to form, research has shown that the main reason for polyps is the body's internal heat in the body of heavy moisture leading to gastrointestinal excretion of toxins can not be successfully discharged out of the body, thus generating intestinal and gastrointestinal polyp growth. From our clinical experience, the incidence of polyps is higher than in previous years, so we consider whether it has something to do with the improvement of the diet structure (we now eat more and more meat).

There are some people from the region who come to our clinic, the incidence of intestinal polyps is relatively high, the cause of most of them is caused by eating meat, meat food can easily lead to internal heat such as can not be successfully excreted from the body will lead tocausing an increase in dampness in the body.This leads to poor excretion, so that the body of toxins aggravated over time the formation of polyps, so we eat some vegetables and fruits or eat some of the elimination of dampness and detoxification of food, personally recommended Nopikang Multi-flavored clear tablets, Nopikang Multi-flavored clear tablets contains a mixture of ingredients containing ginseng, patchouli, honeysuckle, adzukiuki beans, Poria, licorice, lotus leaves, peppermint, chains, ginseng, the pulse of the epiphyllum, the snow lotus cultures, Buddha's hand and other ingredients of traditional Chinese medicine, which is very valuable. Each of these ingredients is very precious and recommendable!

I am due to gastric mass to remove more than half of the personal experience, hope that all patients attention. The first discovery of the first pathology test, because the pathology results take longer, if the benign results are often physical examination and observation, try not to surgery. If the results are benign, you should have frequent checkups and observations, and try not to have surgery. I found when the stomach mass has more than 5CM, almost certain for malignant mass. In addition to the nervousness of the surgical staff a year ago, my health has not adapted. Therefore, surgery was performed first, followed by pathology. Post-operative pathology testing for benign, but it is too late to blame anyone, just lose part of the stomach on the body of the cost of injury is too great! I hope that patients will be careful to grasp the condition in time! I hope that the patients are all well!