What is Gastric Polyps?

Gastric Polyps 

Gastric polyps are masses or a small aggregation of cells seen in the stomach. They represent areas of higher-than-normal proliferative growth and may potentially turn neoplastic. 
 

They can be further sub-divided into 

1) Gastric hyperplastic polyps
3) Adenomatous polyps

Most polyps are diagnosed incidentally on upper GI endoscopy. Gastric hyperplastic polyps are associated with chronic H.pylori infection and atrophic gastritis. 

Risks associated with gastric polyps

   1. Age 
   2. Chronic H.pylori infection
   3. Chronic gastritis due to any cause
   4. Genetically inherited polyposis syndromes like Familial adenomatous polyposis (FAP)





Clinical features

 Majority of the polyps are asymptomatic and are incidentally found. However, a     fraction of cases may present with
   1. Heartburn and chest discomfort
   2. Indigestion
   4. Fatigue 


Management 


  1. Upper GI endoscopy with Narrow band imaging
  2. Endoscopic biopsy for histopathological diagnosis
  3. CT/MRI (in cases of large polyp) 

Treatment 


  1. Depending on the histopathological diagnosis, further treatment is planned
  2. Endoscopic mucosal resection is done for removal of small ma

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