Gastric Polyp Removal: Common Questions Answered - Gastroenterology and Hepatology

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When it comes to gastric polyps, understanding their nature, management, and the implications of their removal is crucial for patients and their families. Your sister's recent endoscopy revealed multiple small polyps, and the decision to remove only one can understandably raise questions. Let's address your concerns systematically.

1. Can only one polyp be removed during an endoscopy?
No, there is no strict rule that limits the removal of polyps to just one during an endoscopy. The decision to remove a polyp depends on several factors, including the size, type, and location of the polyps, as well as the physician's judgment based on the patient's overall health and the findings during the procedure. In many cases, if multiple polyps are present, a physician may choose to remove only those that appear suspicious or larger, while smaller or benign-looking polyps may be left in place for monitoring. This approach minimizes the risk of complications such as bleeding or perforation, which can occur with each removal.

2. Will the other unremoved polyps grow larger?
Yes, there is a possibility that the remaining polyps could grow larger over time. Gastric polyps can vary in their growth rates and potential for malignancy based on their type. Fundic gland polyps, for example, are typically benign and may not pose a significant risk, while adenomatous polyps have a higher potential for cancerous transformation. Regular monitoring through follow-up endoscopies is essential to assess any changes in size or appearance of the remaining polyps. Your sister's physician will likely recommend a follow-up schedule based on the characteristics of the polyps and any other risk factors.


Additional Considerations
- Family History and Genetic Factors: If there is a family history of gastric cancer or polyposis syndromes, it may warrant a more aggressive approach to surveillance and management. In such cases, genetic counseling and testing might be recommended.


- Lifestyle Factors: Diet and lifestyle can influence the development of gastric polyps. A diet high in fruits, vegetables, and whole grains, along with regular exercise, may help reduce the risk of polyp formation. Avoiding smoking and excessive alcohol consumption is also advisable.

- Follow-Up Care: It is essential for your sister to maintain regular follow-ups with her gastroenterologist. The physician may recommend periodic endoscopies to monitor the polyps and ensure that no new polyps have developed.

- Symptoms to Watch For: While most gastric polyps are asymptomatic, any new symptoms such as abdominal pain, changes in appetite, or gastrointestinal bleeding should be reported to a healthcare provider immediately.

In conclusion, while the decision to remove only one polyp may seem concerning, it is often based on careful consideration of the risks and benefits. Regular monitoring and a proactive approach to health can help manage any potential issues related to gastric polyps. If there are any lingering concerns, it is always best to discuss them directly with the healthcare provider for personalized advice and reassurance.