Pyloric Polyps: Diagnosis, Treatment, and Dietary Guidance

Pyloric polyp

I would like to ask the doctor, if a gastroscopy was performed and a lesion resembling a polyp was found at the 6 o'clock position near the gastroesophageal junction, measuring approximately 0.4 x 0.5 x 0.5 cm, with a lobulated surface and mucosal congestion and edema.
The physician who performed the gastroscopy mentioned that surgical treatment is necessary.
Does this indicate stomach cancer? In the gastric body, there is mild alternating redness and whiteness of the mucosa.
In the gastric antrum, there is mucosal congestion and edema.
After surgery, what precautions should be taken? What dietary considerations should be observed? Should I drink more water? I am 156 cm tall and weigh 55 kg.
Thank you for your response.

Ke, 20~29 year old female. Ask Date: 2017/11/01

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Hello, Ms.
Ke.
Currently, there is an endoscopic mucosal resection procedure available.
If the lesion can be observed through endoscopy, it can be removed without the need for open surgery.
Thank you for your inquiry.
Changhua Hospital cares about your health.

Reply Date: 2017/11/01

More Info

Understanding pyloric polyps is crucial for both diagnosis and treatment, especially when they are detected during an endoscopic examination. Based on your description, the polyp located at the pylorus (the area near the stomach's outlet) measures approximately 0.4 x 0.5 x 0.5 cm and exhibits a lobulated surface with mucosal congestion and edema. While the presence of a polyp can be concerning, it does not automatically indicate cancer.
Pyloric polyps are generally classified as benign growths, and they can be associated with conditions such as chronic gastritis or gastric hyperplasia. However, the specific characteristics of the polyp, including its size, shape, and histological features, are essential in determining the risk of malignancy. The fact that your doctor has recommended surgical intervention suggests that they are taking a cautious approach, likely due to the polyp's appearance and the potential for it to cause symptoms or complications.

After surgery, there are several important considerations to keep in mind:
1. Postoperative Care: Follow your surgeon's instructions regarding wound care and any prescribed medications, such as pain relievers or antibiotics. Monitor for any signs of infection, such as increased redness, swelling, or discharge from the surgical site.

2. Dietary Modifications: Initially, you may be advised to follow a bland diet to allow your stomach to heal. This typically includes soft foods that are easy to digest, such as applesauce, bananas, rice, and toast. Gradually reintroduce other foods as tolerated. Avoid spicy, acidic, or fried foods that could irritate the stomach lining.

3. Hydration: Staying hydrated is essential, especially after surgery. Drinking plenty of water can help with recovery and digestion. Aim for at least 8-10 cups of water daily, unless otherwise directed by your healthcare provider.

4. Monitoring Symptoms: Pay attention to any changes in your symptoms. If you experience increased abdominal pain, nausea, vomiting, or changes in bowel habits, contact your healthcare provider promptly.

5. Follow-Up Appointments: Regular follow-up appointments are crucial to monitor your recovery and assess any further treatment needs. Your doctor may recommend additional imaging or endoscopic evaluations to ensure that there are no remaining issues.

6. Lifestyle Adjustments: Consider adopting a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. This can help support your overall health and reduce the risk of future gastrointestinal issues.

In conclusion, while the presence of a pyloric polyp warrants careful evaluation, it does not necessarily mean you have gastric cancer. Surgical removal is a common and effective treatment for symptomatic or concerning polyps. Adhering to postoperative care guidelines, maintaining a healthy diet, and staying hydrated will aid in your recovery. Always consult your healthcare provider for personalized advice tailored to your specific situation.

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