Do Multiple Gastric Polyps Require Surgical Removal? - Gastroenterology and Hepatology

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When it comes to managing multiple gastric polyps, the approach largely depends on the characteristics of the polyps, their size, and the patient's overall health. In your case, since you have been diagnosed with multiple small gastric polyps, it is essential to understand the nature of these polyps and the recommended management strategies.

Firstly, most gastric polyps, especially those that are small (typically less than 1 cm), are benign and do not pose a significant risk of malignancy. The most common types of gastric polyps include fundic gland polyps, hyperplastic polyps, and adenomatous polyps. Fundic gland polyps, which are often associated with the use of proton pump inhibitors (PPIs), are usually benign and do not require removal unless they are symptomatic or larger in size. Hyperplastic polyps are also generally benign, while adenomatous polyps have a higher risk of becoming cancerous and may warrant closer monitoring or removal.

In your case, since the doctor has performed a biopsy and is awaiting results, it is crucial to follow up on those findings. If the biopsy results indicate that the polyps are benign, the standard practice is to monitor them rather than remove them surgically. Regular surveillance through endoscopy is often recommended, typically every 1 to 3 years, depending on the number and size of the polyps, as well as any changes in symptoms.

Surgical removal of gastric polyps is generally reserved for larger polyps (greater than 1 cm), polyps that exhibit dysplastic changes, or those that cause symptoms such as obstruction or bleeding. The risks associated with surgical removal include complications from the procedure itself, such as bleeding, perforation of the stomach, or infection. Therefore, the decision to proceed with surgery should be made after careful consideration of these risks versus the potential benefits.

If you are concerned about the presence of multiple polyps and the possibility of them growing or changing, it is advisable to have a thorough discussion with your gastroenterologist. They can provide you with a personalized management plan based on the characteristics of your polyps and your medical history. If necessary, they may refer you to a specialist for further evaluation or treatment options.

In summary, while multiple gastric polyps may not require immediate surgical intervention, ongoing monitoring and follow-up are essential. If the polyps are confirmed to be benign, regular surveillance is typically sufficient. However, if there are any changes in the size or number of polyps, or if you experience any concerning symptoms, further evaluation and potential surgical options may be warranted. Always consult with your healthcare provider to determine the best course of action tailored to your specific situation.