Gastric polyps generally refers to the gastric cavity from the gastric mucosal surface prominent lesions (Gastricpolypscan be broadly define
Gastric polyps generally refers to the gastric cavity from the gastric mucosal surface prominent lesions (Gastricpolypscan be broadly defined as luminal lesions projecting above the plane of the mucosal surface), a common clinical, and variety, with fundic gland, hyperplasia, adenoma, inflammatory, hamartoma and so on; the source of diverse epithelial or non epithelial; single can also be multiple, small polyps also evil into gastric cancer . The gastric polyp itself has no symptoms, most of which are found incidentally in the course of gastroscopy. Because of the limited ability to judge the naked eye, so the doctor in the discovery of gastric polyps, often to take a small amount of polyp tissue to send a pathological examination to determine the type and nature of polyps (biopsy pathology). For individual small polyps, then all the forceps in addition to send the pathological examination.
According to the 2015 American Association of digestive endoscopy guidelines issued by , although many types of gastric polyp susceptibility, but statistics found that 70%~90% epithelial polyps are fundic gland polyps and hyperplastic polyps (The majority (70%-90%) of gastric epithelial polyps are fundic gland polyps (FGPs) or hyperplastic polyps and are often incidental findings on endoscopy) which, in the fundic gland polyp is the most common. Sporadic fundic gland polyps may be associated with long-term use of proton pump inhibitors such as aomeilazole, cancer risk is not high. Therefore, the pathologic findings of the gastric gland polyp need not be removed and they should not be followed up unless they are familial adenomatous polyposis. Only less than 10~30% of gastric polyps with a certain risk of cancer, need to be removed and with.
1 hyperplastic polyps of the second common gastric polyps. 5%~15% in hyperplastic polyps can be found in dysplasia and malignant transformation. The greater the risk of polyps, the polyps with a diameter greater than 0.5cm should be removed endoscopically. If the growth of Helicobacter pylori infection and environmental metaplasia atrophic gastritis on the basis of hyperplastic polyps, whether large or small, will be removed, second years of gastroscopy, followed by a review every 3~5 years.
2 adenomatous polyp is rare, but it is not only the malignant potential and after removal of about 2.6% recurrence rate, so once confirmed, the best separation through the submucosal resection of the resection, second years gastroscope, then review once every 3~5 years.
3 rare familial polyposis, hereditary type, variety, the main feature is the large and small intestinal polyposis, stomach often occur, single or multiple, including familial adenomatous polyposis (FAP) patients with gastric polyps are fundic gland polyps. For this kind of polyps, single or a few polyps as far as possible to remove, when the hair will be removed. Follow up colonoscopy timing and synchronization.
4 Lynch syndrome (Lynch) syndrome (Lynch) is also known as hereditary nonpolyposis colorectal cancer (NHPCC), and about 10%~15% of colorectal cancer is of this type (). This patient is also susceptible to gastric cancer, endometrial cancer. Therefore, Lynch (Lynch) syndrome families and patients are required to be examined, found that polyps were removed and follow-up.
1 Park do Y, Lauwers GY. Arch Lab Med.2008 Apr; 132 (4): 633-40. (Gastricpolyps:classificationandmanagement.) Pathol
2.ASGE Standards of Practice Committee, Evans JA, Chandrasekhara et Theroleofendoscopyin themanagementofpremalignantandmalignantconditionsof Gastrointest Endosc.2015 Jul, 82 (1): 1-8. thestomach. (al.)