Gastric Polyps: When to Remove and Managing Recurrence - Gastroenterology and Hepatology

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Gastric polyps are growths that form on the lining of the stomach, and their management depends on several factors, including their type, size, and the patient's overall health. In your case, the physician has indicated that the polyps do not require removal at this time. This decision is often based on the understanding that many gastric polyps are benign and do not pose a significant risk of cancer.

1. When to Remove Gastric Polyps: The need for removal of gastric polyps generally depends on their characteristics. Fundic gland polyps, for example, are typically benign and have a low risk of malignancy, especially if they are small (less than 1 cm). However, if a polyp is larger, has atypical features, or if there is a family history of gastric cancer or polyposis syndromes, removal may be recommended. Regular surveillance through endoscopy is often advised to monitor any changes in the polyps over time.
2. Causes of Gastric Polyps: The exact cause of gastric polyps is not fully understood, but several factors may contribute to their development. Chronic inflammation of the stomach lining, often due to conditions like chronic gastritis or infection with Helicobacter pylori, can lead to the formation of polyps. Additionally, the use of proton pump inhibitors (PPIs) has been associated with an increased incidence of fundic gland polyps. Other risk factors may include genetic predisposition and dietary factors.

3. Managing Recurrence of Acute Gastritis and Ulcers: To reduce the recurrence of acute gastric ulcers and gastritis, several lifestyle and dietary modifications can be beneficial. These include:
- Avoiding irritants: Limit the intake of non-steroidal anti-inflammatory drugs (NSAIDs), alcohol, and smoking, as these can irritate the stomach lining.

- Dietary changes: Eating a balanced diet rich in fruits, vegetables, and whole grains while avoiding spicy, acidic, or fried foods can help maintain stomach health.

- Stress management: Stress can exacerbate gastric symptoms, so incorporating stress-reducing techniques such as mindfulness, yoga, or regular exercise may be helpful.

- Regular follow-ups: Regular check-ups with your gastroenterologist can help monitor your condition and make necessary adjustments to your treatment plan.

4. Symptoms Duration: Since you mentioned that your symptoms have persisted for one to two weeks, it is advisable to consult your healthcare provider if they continue or worsen. Persistent symptoms may require further evaluation to rule out complications or other underlying conditions.

In summary, while gastric polyps may not always require removal, it is essential to monitor them and maintain regular follow-ups with your healthcare provider. Understanding the underlying causes of your gastric issues and making appropriate lifestyle changes can significantly reduce the risk of recurrence of acute gastritis and ulcers. If you have concerns about your symptoms or the management of your gastric polyps, discussing them with your gastroenterologist is the best course of action.