Should You Remove All Stomach Polyps? Risks and Management - Gastroenterology and Hepatology

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When it comes to stomach polyps, particularly fundic gland polyps, it’s important to understand their nature, management, and the associated risks. Based on your situation, you have been diagnosed with two benign fundic gland polyps measuring 0.4 cm, and there is a smaller polyp of about 0.2 cm that was not removed during your endoscopy.
First, it is crucial to recognize that the majority of gastric polyps are benign, and fundic gland polyps, in particular, are typically non-cancerous. The risk of malignancy in these types of polyps is very low, especially when they are small. The fact that your removed polyps were confirmed as benign is reassuring. However, your concern about the smaller polyp that was not removed is understandable.

To address your question about the possibility of having both benign and malignant polyps simultaneously: yes, it is possible for an individual to have both types of polyps in the stomach. However, the likelihood of this occurring is relatively low, especially if the polyps are small and if there are no other risk factors present, such as a family history of gastric cancer or certain genetic syndromes.

Regarding the management of the polyp that was not removed, the general recommendation for small, asymptomatic polyps (especially those less than 1 cm) is to monitor them rather than to remove them immediately. Your physician’s advice to follow up with periodic endoscopy is standard practice. Typically, follow-up intervals can range from one to three years, depending on the size and number of polyps and the overall clinical picture.

If you are experiencing any new symptoms, such as abdominal pain, changes in appetite, or gastrointestinal bleeding, it would be prudent to consult your physician sooner. Additionally, if you have any concerns about the polyp that was not removed, discussing these with your healthcare provider can help alleviate your worries. They may consider repeating an endoscopy sooner if deemed necessary based on your clinical history and any new symptoms.

In terms of lifestyle and dietary modifications, while there is no specific diet to prevent the growth of gastric polyps, maintaining a healthy diet rich in fruits, vegetables, and whole grains can support overall gastrointestinal health. Avoiding excessive alcohol consumption and smoking can also reduce the risk of developing gastric issues.

In summary, while it is possible to have both benign and malignant polyps, the risk of malignancy in small fundic gland polyps is low. Regular follow-up with your healthcare provider is essential for monitoring any changes. If you have any further concerns or if your symptoms change, do not hesitate to reach out to your physician for further evaluation. Your health and peace of mind are paramount, and open communication with your healthcare provider is key to managing your condition effectively.